Individual provider Active NPI

Stacy N. Hennigar, ARNP

  • Family Nurse Practitioner
  • Des Moines, IA
National Provider Identifier
1487194791
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A105594 Issued in IA
Practice address
4020 Merle Hay Rd Ste 100
Des Moines, IA 50310-1357
Phone
(515) 278-0949
Fax
(515) 278-6721
NPI assigned
Mar 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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 A105594 IA Primary

Addresses

Primary practice location

4020 Merle Hay Rd Ste 100
Des Moines, IA 50310-1357

Mailing address

5160 Sycamore Dr
Pleasant Hill, IA 50327-1978
Phone (515) 205-5871

Other practice location 1

7300 Westown Pkwy
West Des Moines, IA 50266-2527
Phone (515) 650-4370

Other identifiers 2

IdentifierTypeStateIssuer
A105594OtherIAIOWA LICENSE
1487194791OtherIANPI NUMBER

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
I20170315000187 IA Practitioner - Nurse Practitioner 7618252677 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
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

6400 Hickman Rd
Windsor Heights, IA 50324-5001
Phone (515) 274-3551

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Finley Hospital Family CurrentSince Nov 19, 2020 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
The Finley Hospital CurrentSince Nov 19, 2020 Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Aug 26, 2024 Accepting new patients
Uhs Midwest Behavioral Health LLC Past Accepting new patients
Hy-Vee Health PC PastSince Oct 1, 2021 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

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

1500 Delhi St
Ste 4300
Dubuque, IA 52001
Phone (563) 557-5971

Interoperability endpoints

  • Direct secure messaging: shennigar17867@direct.unitypoint.org

Organizations & group practices 6

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": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1487194791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5160 SYCAMORE DR",
            "city": "PLEASANT HILL",
            "state": "IA",
            "postal_code": "503271978",
            "telephone_number": "515-205-5871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 MERLE HAY RD STE 100",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503101357",
            "telephone_number": "515-278-0949",
            "fax_number": "515-278-6721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7300 Westown Pkwy",
            "address_purpose": "LOCATION",
            "city": "West Des Moines",
            "state": "IA",
            "postal_code": "502662527",
            "country_code": "US",
            "telephone_number": "515-650-4370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENNIGAR",
        "first_name": "STACY",
        "middle_name": "N.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-06",
        "last_updated": "2024-05-29",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A105594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA LICENSE",
            "identifier": "A105594",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1487194791",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.