Active NPI
Maria Astra Felecia Fecundo, ARNP
- Family Nurse Practitioner
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- H161918
- Practice address
- 411 Laurel St Ste 2350
Des Moines, IA 50314-3026 - Phone
- (515) 280-4700
- Fax
- (515) 280-4701
- NPI assigned
- Jan 6, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041.360387 | IL | |
| Family Nurse Practitioner | 363LF0000X | H161918 | IA | Primary |
Addresses
Primary practice location
411 Laurel St Ste 2350
Des Moines, IA 50314-3026
Mailing address
411 Laurel St Ste 2350
Des Moines, IA 50314-3026
Phone (515) 280-4700
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
411 Laurel St
Suite 2350
Des Moines, IA 50314-3026
Phone (515) 421-4983
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.360387 | IL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Kidney Care PLC | Current | Accepting new patients |
Locations
411 Laurel St
Ste 2350
Des Moines, IA 50314
Phone (515) 280-4700
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.
-
- Nephrology Physician
- Des Moines, IA
- NPI 1629021050
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MercyOne West Des Moines Medical Center
- General Acute Care Hospital
- West Des Moines, IA
- NPI 1538395975
-
dba MercyOne Des Moines Laboratory
- Clinical Medical Laboratory
- Des Moines, IA
- NPI 1104982743
Hospital
-
dba MercyOne Des Moines Medical Center
- General Acute Care Hospital
- Des Moines, IA
- NPI 1508964883
-
dba Mercy Medical Mammography Center
- Mammography Clinic/Center
- Des Moines, IA
- NPI 1477984367
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1457681835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 LAUREL ST STE 2350",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503143026",
"telephone_number": "515-280-4700",
"fax_number": "515-280-4701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 LAUREL ST STE 2350",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503143026",
"telephone_number": "515-280-4700",
"fax_number": "515-280-4701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FECUNDO",
"first_name": "MARIA ASTRA",
"middle_name": "FELECIA",
"name_prefix": "Miss",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-06",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041.360387",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "H161918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
- Kendy Rose Fauska, RPH
- Brendy Faust, BSN
- James Richard Faust, M.D.
- FDS Rentals, Inc (Home Furnishings)
- Pedro Luis Febo Toledo, MD
- Joyce Feddersen, LMHC
- Federal Public Defender Office of the Northern and Southern Districts of Iowa
- Sean Michael Feehan, PT
- Feh Optometry (Family Eye Health Center)
- Jacob Jon Feilmeier
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.