Individual provider Active NPI

Katie Broshuis, ARNP

  • Family Nurse Practitioner
  • West Des Moines, IA
National Provider Identifier
1437533130
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A131988 Issued in IA
Practice address
9500 University Ave Ste 1114
West Des Moines, IA 50266-1870
Phone
(515) 221-8960
Fax
(515) 221-8382
NPI assigned
Jul 13, 2015
Last updated
May 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A131988 IA
Family Nurse Practitioner 363LF0000X A131988 IA Primary

Addresses

Primary practice location

9500 University Ave Ste 1114
West Des Moines, IA 50266-1870

Mailing address

6800 Lake Dr Ste 285
West Des Moines, IA 50266-2544
Phone (515) 226-3116

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
I20150805007830 IA Practitioner - Nurse Practitioner 4688988520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Dermatology Clinic PLCGroup PAC ID 2961394713, 22 clinicians

Practice addresses (Care Compare)

1510 SW Oralabor Rd
Suite C
Ankeny, IA 50023-7147
Phone (515) 964-3467

6000 University Ave
Suite 350
West Des Moines, IA 50266-8219
Phone (515) 226-3116

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A131988IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Dermatology Clinic PLC Current Accepting new patients
Iowa Dermatology Clinic PLC Nurse Practitioner CurrentSince Dec 14, 2015 Accepting new patients

Locations

2010 Philadelphia St
Ste 1
Ames, IA 50010
Phone (515) 232-8844

6000 University Ave
Ste 350
West Des Moines, IA 50266
Phone (515) 226-8484

6800 Lake Dr
Ste 285
West Des Moines, IA 50266
Phone (515) 570-3980

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1437533130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 LAKE DR STE 285",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502662544",
            "telephone_number": "515-226-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 UNIVERSITY AVE STE 1114",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661870",
            "telephone_number": "515-221-8960",
            "fax_number": "515-221-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSHUIS",
        "first_name": "KATIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A131988",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A131988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.