Individual provider Active NPI

Edmund J Piasecki III, FNP

  • Family Nurse Practitioner
  • Des Moines, IA
National Provider Identifier
1477534279
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A100182 Issued in IA
Practice address
1111 6TH Ave
Mercy Medical Cente ER
Des Moines, IA 50314-2610
Phone
(515) 247-3173
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A100182 IA Primary
Family Nurse Practitioner 363LF0000X 2001021075 MO
Family Nurse Practitioner 363LF0000X 45213 KS

Addresses

Primary practice location

1111 6TH Ave
Mercy Medical Cente ER
Des Moines, IA 50314-2610

Mailing address

2207 Willowmere Dr
Des Moines, IA 50321-1539
Phone (515) 244-4550

Other identifiers 3

IdentifierTypeStateIssuer
425701513MedicaidMO
0463448MedicaidIA
425701505MedicaidMO

Other names 1

  • Mr. Ed Piasecki Professional 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
I20051114000371 IA Practitioner - Nurse Practitioner 2567444334 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Iowa Hospital CorporationGroup PAC ID 1052229275, shared by 6 NPIs, 233 clinicians

Practice addresses (Care Compare)

1319 Pennsylvania Ave
Des Moines, IA 50316-2341
Phone (515) 243-5181

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

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

6010 Mills Civic Pkwy
West Des Moines, IA 50266-8345
Phone (515) 221-7800

700 E University Ave
Iowa Lutheran
Des Moines, IA 50316-2302
Phone (515) 263-5612

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A100182IAMDFamily Nurse Practitioner
45213KSMDFamily Nurse Practitioner
2001021075MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ida County Iowa Community Hospital CurrentSince May 22, 2025 Accepting new patients
Ida County Iowa Community Hospital Current Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Ida County Iowa Community Hospital Family CurrentSince May 22, 2025 Accepting new patients
Montgomery County Memorial Hospital Current Accepting new patients
Ida County Iowa Community Hospital Current Accepting new patients
Eyerly Ball Community Mental Health Services CurrentSince Sep 6, 2025 Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Jan 1, 2012 Accepting new patients
Eyerly Ball Community Mental Health Services CurrentSince Sep 6, 2025 Accepting new patients
Physicians Acute Care Services, Inc Past Accepting new patients
Romaker and Associates, PC Past Accepting new patients

Locations

6580 165th St
Albia, IA 52531
Phone (641) 932-1756

2521 University Blvd
Ste 121
Ames, IA 50010
Phone (515) 292-2150

410 NW Ash Dr
Ankeny, IA 50023
Phone (515) 964-1101

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

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

4020 Merle Hay Rd
Ste 100
Des Moines, IA 50310
Phone (515) 278-0949

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

700 E University Ave
Des Moines, IA 50316
Phone (515) 263-5120

1250 E 9th St
Des Moines, IA 50316
Phone (515) 241-4300

1319 Pennsylvania Ave
Des Moines, IA 50316
Phone (515) 243-5181

1301 Center St
Des Moines, IA 50309
Phone 5152410982852

802 Kenyon Rd
#T
Fort Dodge, IA 50501

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

701 E 2nd St
Ida Grove, IA 51445
Phone (712) 364-3311

1600 1st St E
Independence, IA 50644
Phone (319) 332-0999

1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111

610 10th St
Perry, IA 50220
Phone (515) 465-3547

2301 Eastern Ave
Red Oak, IA 51566
Phone (712) 623-7270

2901 86th St
Urbandale, IA 50322
Phone (515) 276-3406

1660 60th St
West Des Moines, IA 50266
Phone (515) 241-2250

555 S 51st St
West Des Moines, IA 50265
Phone (515) 221-2751

Interoperability endpoints

  • Direct secure messaging: epiasecki9833@direct.unitypoint.org

Organizations & group practices 12

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.

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": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1477534279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2207 WILLOWMERE DR",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503211539",
            "telephone_number": "515-244-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 6TH AVE",
            "address_2": "MERCY MEDICAL CENTE ER",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142610",
            "telephone_number": "515-247-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIASECKI III",
        "first_name": "EDMUND",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A100182",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2001021075",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "45213",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "425701513",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0463448",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "425701505",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ED",
            "last_name": "PIASECKI",
            "prefix": "MR.",
            "credential": "ARNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.