Individual provider Active NPI

Kenneth McCord Tierney, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • West Des Moines, IA
National Provider Identifier
1457832677
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G193461 Issued in IA
Practice address
7300 Westown Pkwy Ste 330
West Des Moines, IA 50266-2527
Phone
(515) 650-4730
NPI assigned
Aug 25, 2018
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 112609 NE
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G193461 IA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.1002304-NP CO

Addresses

Primary practice location

7300 Westown Pkwy Ste 330
West Des Moines, IA 50266-2527

Mailing address

7300 Westown Pkwy Ste 330
West Des Moines, IA 50266-2527
Phone (515) 650-4730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190107002551 NE Practitioner - Nurse Practitioner 4486990843 Reassigns benefits to 1 organization
I20210413000173 IA Practitioner - Nurse Practitioner 4486990843 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Creighton University School of Medicine, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7300 Westown Pkwy
Suite 330
West Des Moines, IA 50266-2527

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Fremont Health CurrentSince Jan 1, 2019 Accepting new patients
QV Urgent Care Ia PLLC CurrentSince May 18, 2023 Accepting new patients
QV Urgent Care Ia PLLC CurrentSince May 18, 2023 Accepting new patients
Audubon County Memorial Hospital CurrentSince Jul 1, 2021 Accepting new patients
Hy-Vee Health Exemplar Care PLC CurrentSince Oct 1, 2022 Accepting new patients
Dallas County Hospital Past Accepting new patients

Locations

515 Pacific Ave
Audubon, IA 50025
Phone (712) 563-2611

1501 39th St
Fort Madison, IA 52627
Phone (319) 376-1511

213 West St S
Grinnell, IA 50112
Phone (641) 519-0563

801 N Grand Ave
Mt Pleasant, IA 52641
Phone (319) 984-4775

1817 1st Ave E
Newton, IA 50208
Phone (641) 458-3055

312 W McLane St
Osceola, IA 50213
Phone (641) 658-9048

2489 Highway 92
Washington, IA 52353
Phone (319) 206-9383

7300 Westown Pkwy
Ste 330
West Des Moines, IA 50266
Phone (515) 650-4370

450 E 23rd St
Fremont, NE 68025
Phone (402) 721-1610

207 S Engdahl Ave
Oakland, NE 68045
Phone (402) 685-5683

Interoperability endpoints

  • Direct secure messaging: kenneth.tierney.1@25062.direct.athenahealth.com

Organizations & group practices 6

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": "1535155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1457832677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 WESTOWN PKWY STE 330",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502662527",
            "telephone_number": "515-650-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 WESTOWN PKWY STE 330",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502662527",
            "telephone_number": "515-650-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIERNEY",
        "first_name": "KENNETH",
        "middle_name": "MCCORD",
        "name_prefix": "Dr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-25",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "112609",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G193461",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.1002304-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.