Individual provider Active NPI

Kyla Anne Ingram, DNP, ARNP, FNP-C

  • Family Nurse Practitioner
  • Ankeny, IA
National Provider Identifier
1427697069
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A155606 Issued in IA
Practice address
800 E 1St St Ste 2400
Ankeny, IA 50021-2077
Phone
(515) 452-0600
Fax
(515) 452-0606
NPI assigned
Dec 30, 2019
Last updated
Oct 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A155606 IA Primary

Addresses

Primary practice location

800 E 1St St Ste 2400
Ankeny, IA 50021-2077

Mailing address

3939 12TH St
Des Moines, IA 50313-3221

Other practice location 1

5901 Westown Pkwy Ste 225
West Des Moines, IA 50266-8297
Phone (515) 410-9400

Other names 1

  • Kyla Anne Reyes 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
I20200330000750 IA Practitioner - Nurse Practitioner 4981033842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shinra PCGroup PAC ID 8426394230, 3 clinicians

Practice addresses (Care Compare)

5901 Westown Pkwy
Suite 250
West Des Moines, IA 50266-8273
Phone (316) 452-1653

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shinra, P.C. CurrentSince Jan 21, 2020 Accepting new patients

Locations

800 E 1st St
Ste 2800
Ankeny, IA 50021
Phone (515) 410-9400

609 SE Kent St
Greenfield, IA 50849
Phone (641) 743-2123

710 N 12th St
Guthrie Ctr, IA 50115
Phone (641) 332-2201

920 S Oak St
Iowa Falls, IA 50126
Phone (641) 648-4631

5901 Westown Pkwy
Ste 225
West Des Moines, IA 50266
Phone (515) 410-9400

5901 Westown Pkwy
Ste 250
West Des Moines, IA 50266
Phone (316) 452-1653

300 W Hutchings St
Winterset, IA 50273
Phone (515) 223-4368

Organizations & group practices 1

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

Hospital & facility affiliations 4

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": "1577664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1427697069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 12TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503133221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 1ST ST STE 2400",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500212077",
            "telephone_number": "515-452-0600",
            "fax_number": "515-452-0606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5901 Westown Pkwy Ste 225",
            "address_purpose": "LOCATION",
            "city": "West Des Moines",
            "state": "IA",
            "postal_code": "502668297",
            "country_code": "US",
            "telephone_number": "515-410-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "KYLA",
        "middle_name": "ANNE",
        "credential": "DNP, ARNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-30",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A155606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLA",
            "last_name": "REYES",
            "middle_name": "ANNE",
            "credential": "DNP, ARNP, FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ankeny, IA

Sources for this page

Verify at the official NPI Registry.