Individual provider Active NPI

Stephanie Renee Christian, DNP

  • Family Nurse Practitioner
  • West Des Moines, IA
National Provider Identifier
1487354064
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
H173258 Issued in IA
Practice address
1776 W Lakes Pkwy
West Des Moines, IA 50266-8377
Phone
(515) 241-3510
NPI assigned
Mar 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2100X H173258 IA
Adult Health Nurse Practitioner 363LA2200X H173258 IA
Gerontology Nurse Practitioner 363LG0600X H173258 IA
Family Nurse Practitioner 363LF0000X H173258 IA Primary

Addresses

Primary practice location

1776 W Lakes Pkwy
West Des Moines, IA 50266-8377

Mailing address

14502 Catalpa Dr
Urbandale, IA 50323-3401
Phone (515) 339-5287

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
I20230428000494 IA Practitioner - Nurse Practitioner 8022473933 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • Unitypoint at Home Home health agency, Urbandale, IA, CCN 167148
  • Trinity Regional Medical Center Hospital, Fort Dodge, IA, CCN 160016
  • Unitypoint Health - Des Moines Iowa Methodist Medi Hospital, Des Moines, IA, CCN 160082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
H173258IAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation Multi-Specialty CurrentSince Nov 17, 2024 Accepting new patients
Trinity Regional Medical Center Multi-Specialty CurrentSince Jun 19, 2023 Accepting new patients

Locations

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

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

1428 2nd Ave N
Fort Dodge, IA 50501
Phone (515) 573-1145

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

1776 Westlakes Pkwy
Ste 100
West Des Moines, IA 50266
Phone (515) 241-3510

Interoperability endpoints

  • Direct secure messaging: swilkinson162561@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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1487354064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14502 CATALPA DR",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503233401",
            "telephone_number": "515-339-5287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 W LAKES PKWY",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668377",
            "telephone_number": "515-241-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIAN",
        "first_name": "STEPHANIE",
        "middle_name": "RENEE",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-03",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IA",
            "license": "H173258",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IA",
            "license": "H173258",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IA",
            "license": "H173258",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "H173258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.