Individual provider Active NPI

Kerri L Patton, NPC

  • Family Nurse Practitioner
  • Des Moines, IA
National Provider Identifier
1457303653
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A-129494 Issued in IA
Practice address
1200 Pleasant St
Powell 206
Des Moines, IA 50309-1406
Phone
(515) 241-5100
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F0206129 MO
Family Nurse Practitioner 363LF0000X A-129494 IA Primary

Addresses

Primary practice location

1200 Pleasant St
Powell 206
Des Moines, IA 50309-1406

Mailing address

1200 Pleasant St
Powell 206
Des Moines, IA 50309-1406
Phone (515) 241-5100

Other identifiers 2

IdentifierTypeStateIssuer
1457303653MedicaidIA
P01353486OtherIARR MEDICARE

Other names 1

  • Kerri L. Stevenson 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
I20120502000648 IA Practitioner - Nurse Practitioner 2567526023 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Luna Mental Health PLLCGroup PAC ID 2769837335, 3 clinicians

Practice addresses (Care Compare)

1200 Valley W Dr
Suite 503
West Des Moines, IA 50266-1906
Phone (515) 724-0409

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A-129494IAMDFamily Nurse Practitioner
F0206129MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Iowa Hospital Corporation CurrentSince Jun 10, 2014 Accepting new patients
Central Iowa Hospital Corporation CurrentSince Jun 10, 2014 Accepting new patients
Central Iowa Hospital Corporation Family Current Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Mar 19, 2012 Accepting new patients
Luna Mental Health PLLC CurrentSince Oct 3, 2023 Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

1215 Pleasant St
Ste 400
Des Moines, IA 50309
Phone (515) 241-5722

1200 Pleasant St
Ste S228
Des Moines, IA 50309

1201 Pennsylvania Ave
Des Moines, IA 50316
Phone (515) 266-1000

1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926

1200 Pleasant St
#206
Des Moines, IA 50309
Phone (515) 241-5100

8101 Birchwood Ct
Ste S
Johnston, IA 50131

1200 Valley West Dr
Ste 503
West Des Moines, IA 50266
Phone (515) 468-3639

555 S 51st St
West Des Moines, IA 50265
Phone (515) 221-2751

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1457303653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 PLEASANT ST",
            "address_2": "POWELL 206",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091406",
            "telephone_number": "515-241-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PLEASANT ST",
            "address_2": "POWELL 206",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091406",
            "telephone_number": "515-241-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "KERRI",
        "middle_name": "L",
        "credential": "NPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "F0206129",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A-129494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457303653",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01353486",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRI",
            "last_name": "STEVENSON",
            "middle_name": "L.",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.