Individual provider Active NPI

Tiffany Nichole Matheny, A.R.N.P.

  • Family Nurse Practitioner
  • Des Moines, IA
National Provider Identifier
1467791558
Registry record updated Oct 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A108272 Issued in IA
Practice address
1201 Penn Ave
Des Moines, IA 50316-2339
Phone
(515) 266-1000
Fax
(515) 266-1824
NPI assigned
Feb 8, 2013
Last updated
Oct 31, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A108272 IA Primary

Addresses

Primary practice location

1201 Penn Ave
Des Moines, IA 50316-2339

Mailing address

1201 Penn Ave
Des Moines, IA 50316-2339
Phone (515) 266-1000

Other identifiers 1

IdentifierTypeStateIssuer
1467791558MedicaidIA

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
I20130516000659 IA Practitioner - Nurse Practitioner 8527205293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

4480 Utica Ridge Rd
Suite 160
Bettendorf, IA 52722-1637
Phone (563) 742-5950

5900 NW 86TH St
Suite 100
Johnston, IA 50131-2284
Phone (515) 276-6133

6000 University Ave
West Des Moines, IA 50266-8200

801 Colonial Cir
Norwalk, IA 50211-9626
Phone (515) 285-3200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Oct 21, 2013 Accepting new patients
La Clinica Medica Latina of Des Moines LLC PastSince Oct 12, 2013 Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

1201 Pennsylvania Ave
Des Moines, IA 50316
Phone (515) 266-1000

8101 Birchwood Ct
Unit R
Urbandale, IA 50131
Phone (515) 471-9363

6000 University Ave
Ste 300
West Des Moines, IA 50266
Phone (515) 241-2250

Interoperability endpoints

  • Direct secure messaging: tmatheny155745@direct.unitypoint.org

Organizations & group practices 3

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": "1360281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383177600000",
    "number": "1467791558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 PENN AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503162339",
            "telephone_number": "515-266-1000",
            "fax_number": "515-266-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 PENN AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503162339",
            "telephone_number": "515-266-1000",
            "fax_number": "515-266-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHENY",
        "first_name": "TIFFANY",
        "middle_name": "NICHOLE",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-08",
        "last_updated": "2013-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A108272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467791558",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.