Individual provider Active NPI

Karissa J Junior, ARNP

  • Nurse Practitioner
  • Marshalltown, IA
National Provider Identifier
1417441999
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A133743 Issued in IA
Practice address
802 S Center St
Marshalltown, IA 50158-3350
Phone
(641) 844-5200
NPI assigned
Jun 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A133743 IA Primary

Addresses

Primary practice location

802 S Center St
Marshalltown, IA 50158-3350

Mailing address

53685 Timber Cir
Kelley, IA 50134-4500
Phone (563) 580-8655

Other practice location 1

6001 Westown Pkwy
West Des Moines, IA 50266-7719
Phone (515) 224-1414

Other practice location 2

4850 100th St
Urbandale, IA 50322-7212
Phone (515) 224-1414

Other practice location 3

350 NE 36th St
Ankeny, IA 50021-6728
Phone (515) 224-1414

Other names 1

  • Karissa J. Shindelar Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180827002075 IA Practitioner - Nurse Practitioner 9537418421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

350 NE 36TH St
Ankeny, IA 50021-6728
Phone (515) 224-1414

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Des Moines Orthopaedic Surgeons PC CurrentSince Sep 11, 2024 Accepting new patients
Des Moines Orthopaedic Surgeons PC CurrentSince Sep 11, 2024 Accepting new patients

Locations

350 NE 36th St
Ankeny, IA 50021
Phone (515) 224-1414

4850 100th St
Urbandale, IA 50322
Phone (515) 224-1414

6001 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 224-1414

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1417441999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53685 TIMBER CIR",
            "city": "KELLEY",
            "state": "IA",
            "postal_code": "501344500",
            "telephone_number": "563-580-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 S CENTER ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501583350",
            "telephone_number": "641-844-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6001 Westown Pkwy",
            "address_purpose": "LOCATION",
            "city": "West Des Moines",
            "state": "IA",
            "postal_code": "502667719",
            "country_code": "US",
            "telephone_number": "515-224-1414",
            "fax_number": "515-224-5140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4850 100th St",
            "address_purpose": "LOCATION",
            "city": "Urbandale",
            "state": "IA",
            "postal_code": "503227212",
            "country_code": "US",
            "telephone_number": "515-224-1414",
            "fax_number": "515-224-5140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 NE 36th St",
            "address_purpose": "LOCATION",
            "city": "Ankeny",
            "state": "IA",
            "postal_code": "500216728",
            "country_code": "US",
            "telephone_number": "515-224-1414",
            "fax_number": "515-224-5140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUNIOR",
        "first_name": "KARISSA",
        "middle_name": "J",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A133743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARISSA",
            "last_name": "SHINDELAR",
            "middle_name": "J.",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marshalltown, IA

Sources for this page

Verify at the official NPI Registry.