Individual provider Active NPI

Maria Astra Felecia Fecundo, ARNP

  • Family Nurse Practitioner
  • Des Moines, IA
National Provider Identifier
1457681835
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
H161918 Issued in IA
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

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210517000963 IA Practitioner - Nurse Practitioner 0244649556 Reassigns benefits to 1 organization

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
Associates in Kidney Care PLCGroup PAC ID 2769494590, 6 clinicians

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

LicenseStateTypeSpecialty
041.360387ILMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Kidney Care PLC CurrentSince Feb 11, 2021 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.

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": "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

Sources for this page

Verify at the official NPI Registry.