Individual provider Active NPI

Cynthia Ann Coenen, ARNP/PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Des Moines, IA
National Provider Identifier
1467907394
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G064460 Issued in IA
Practice address
4725 Merle Hay Rd Ste 106
Des Moines, IA 50322-1983
Phone
(515) 478-9502
Fax
(833) 973-4175
NPI assigned
Aug 21, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X G064460 IA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G064460 IA Primary

Addresses

Primary practice location

4725 Merle Hay Rd Ste 106
Des Moines, IA 50322-1983

Mailing address

4725 Merle Hay Rd Ste 106
Des Moines, IA 50322-1983
Phone (515) 478-9502

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ccoenen@synergyclinicalservices.com

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
I20161006002097 IA Practitioner - Nurse Practitioner 0446548465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4725 Merle Hay Rd
Suite 106
Des Moines, IA 50322-1983
Phone (515) 478-9502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G064460IAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cindy Coenen LLC Multi-Specialty CurrentSince Oct 1, 2023 Accepting new patients
Synergy Clinical Services, L.L.C. Multi-Specialty CurrentSince Jul 17, 2020 Accepting new patients

Locations

3004 30th St
Des Moines, IA 50310
Phone (515) 243-2057

4725 Merle Hay Rd
Ste 106
Des Moines, IA 50322
Phone (515) 214-1241

Interoperability endpoints

  • Direct secure messaging: cynthia.coenen.1@29760.direct.athenahealth.com

Organizations & group practices 2

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": "1471737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1467907394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 MERLE HAY RD STE 106",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503221983",
            "telephone_number": "515-478-9502",
            "fax_number": "833-973-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 MERLE HAY RD STE 106",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503221983",
            "telephone_number": "515-478-9502",
            "fax_number": "833-973-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COENEN",
        "first_name": "CYNTHIA",
        "middle_name": "ANN",
        "credential": "ARNP/PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-21",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "G064460",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G064460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccoenen@synergyclinicalservices.com",
            "affiliation": "N",
            "address_1": "3004 30th St",
            "city": "Des Moines",
            "state": "IA",
            "country_code": "US",
            "postal_code": "503105259",
            "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.