Individual provider Active NPI

Nathan Skeries, ARNP

  • Family Nurse Practitioner
  • Des Moines, IA
National Provider Identifier
1457718363
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A101119 Issued in IA
Practice address
5005 Douglas Ave Ste 104
Des Moines, IA 50310-2760
Phone
(515) 207-0258
Fax
(201) 462-3903
NPI assigned
Jan 22, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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 A101119 IA
Family Nurse Practitioner 363LF0000X A101119 IA Primary

Addresses

Primary practice location

5005 Douglas Ave Ste 104
Des Moines, IA 50310-2760

Mailing address

5005 Douglas Ave Ste 104
Des Moines, IA 50310-2760
Phone (515) 207-0258

Other practice location 1

1111 6th Ave
Des Moines, IA 50314-2613
Phone (515) 247-4445

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nate@midwesthealthdsm.com Health Information Exchange (HIE)

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
I20160322000342 IA Practitioner - Nurse Practitioner 2466759337 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A101119IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Des Moines River Physicians, LLC CurrentSince Feb 15, 2016 Accepting new patients
Des Moines River Physicians, LLC Current Accepting new patients
Des Moines River Physicians, LLC CurrentSince Feb 15, 2016 Accepting new patients
Surgical Clinic of Southern Iowa, PC Past Accepting new patients

Locations

1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 4

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": "1453420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1457718363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 DOUGLAS AVE STE 104",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503102760",
            "telephone_number": "515-207-0258",
            "fax_number": "201-462-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 DOUGLAS AVE STE 104",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503102760",
            "telephone_number": "515-207-0258",
            "fax_number": "201-462-3903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503142613",
            "country_code": "US",
            "telephone_number": "515-247-4445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKERIES",
        "first_name": "NATHAN",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-22",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A101119",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A101119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nate@midwesthealthdsm.com",
            "affiliation": "N",
            "endpointDescription": "Medical clinic",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5005 Douglas Ave Ste 104",
            "city": "Des Moines",
            "state": "IA",
            "country_code": "US",
            "postal_code": "503102760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.