Individual provider Active NPI

Candice Gruss, ARNP

  • Primary Care Nurse Practitioner
  • Des Moines, IA
National Provider Identifier
1457961476
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
A160215 Issued in IA
Practice address
1215 Pleasant St Ste 100
Des Moines, IA 50309-1409
Phone
(515) 336-6557
NPI assigned
Aug 4, 2020
Last updated
Aug 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X A160215 IA Primary

Addresses

Primary practice location

1215 Pleasant St Ste 100
Des Moines, IA 50309-1409

Mailing address

1215 Pleasant St Ste 100
Des Moines, IA 50309-1409
Phone (515) 336-6557

Other names 1

  • Candice Brye 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
I20201124002515 IA Practitioner - Nurse Practitioner 8729499660 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
Iowa Kidney Physicians, P.C.Group PAC ID 7012806409, 15 clinicians

Practice addresses (Care Compare)

1215 Pleasant St
Suite 100
Des Moines, IA 50309-1409
Phone (515) 241-5710

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A160215IAMDPrimary Care Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: candiceraegruss@ikppc.allscriptsdirect.net

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 3

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": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1457961476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 PLEASANT ST STE 100",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091409",
            "telephone_number": "515-336-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 PLEASANT ST STE 100",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091409",
            "telephone_number": "515-336-6557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUSS",
        "first_name": "CANDICE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IA",
            "license": "A160215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDICE",
            "last_name": "BRYE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.