Active NPI
Edmund J Piasecki III, FNP
- Family Nurse Practitioner
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A100182
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 425701513 | Medicaid | MO | |
| 0463448 | Medicaid | IA | |
| 425701505 | Medicaid | MO |
Other names 1
- Mr. Ed Piasecki
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
Enrollment records 1
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 Corporation
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
- Unitypoint at Home
- Unitypoint Health - Des Moines Iowa Methodist Medi
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Arts, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A100182 | IA | MD | Family Nurse Practitioner |
| 45213 | KS | MD | Family Nurse Practitioner |
| 2001021075 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ida County Iowa Community Hospital | Current | 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 | Current | 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 | Current | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Current | Accepting new patients | |
| Eyerly Ball Community Mental Health Services | Current | 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
- 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Des Moines, IA
- NPI 1982657490
-
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
-
- Emergency Medicine Physician
- Ida Grove, IA
- NPI 1053327775
-
- Critical Access Hospital
- Ida Grove, IA
- NPI 1265461180
-
- Critical Access Hospital
- Red Oak, IA
- NPI 1376539338
-
- Internal Medicine Physician
- Red Oak, IA
- NPI 1265405310
-
- Community Health Clinic/Center
- Des Moines, IA
- NPI 1598514895
-
- Rural Health Clinic/Center
- Holstein, IA
- NPI 1689249922
-
- Family Medicine Physician
- Ida Grove, IA
- NPI 1962635615
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Emergency Medical Services (Emergency Medicine) Physician
- Saint Joseph, MO
- NPI 1841262029
-
- Pulmonary Disease Physician
- Kansas City, MO
- NPI 1265403919
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- West Des Moines, IA
- NPI 1194753863
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1356433049
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1396837951
-
- General Acute Care Hospital
- West Des Moines, IA
- NPI 1598905762
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.