Individual provider Active NPI

Carin A Bejarno, ARNP

  • Family Nurse Practitioner
  • Grimes, IA
National Provider Identifier
1487968822
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A-112500 Issued in IA
Practice address
1551 SE 3Rd St
Grimes, IA 50111-8861
Phone
(515) 986-4524
Fax
(515) 986-4531
NPI assigned
Jul 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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 A-112500 IA Primary

Addresses

Primary practice location

1551 SE 3Rd St
Grimes, IA 50111-8861

Mailing address

1551 SE 3Rd St
Grimes, IA 50111-8861
Phone (515) 986-4524

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
I20101014001011 IA Practitioner - Nurse Practitioner 6901098599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians
Childserve Therapy IncGroup PAC ID 7618868282, 4 clinicians

Practice addresses (Care Compare)

101 SE Destination Dr
Family Med Grimes
Grimes, IA 50111-6608
Phone (515) 986-4524

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

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

5406 Merle Hay Rd
Johnston, IA 50131-1209
Phone (515) 727-8750

5900 NW 86TH St
Suite 100
Johnston, IA 50131-2284
Phone (515) 276-6133

Hospital & facility affiliations

  • Unitypoint at Home Home health agency, Urbandale, IA, CCN 167148
  • Unitypoint Health - Des Moines Iowa Methodist Medi Hospital, Des Moines, IA, CCN 160082
  • Dallas County Hospital Hospital, Perry, IA, CCN 161322
  • Kennybrook Village Nursing home, Grimes, IA, CCN 165605

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A-112500IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Physicians Clinic Medical Foundation CurrentSince Jan 1, 2012 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients

Locations

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

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

1551 SE 3rd St
Grimes, IA 50111
Phone (515) 986-4524

101 SE Destination Dr
Grimes, IA 50111
Phone (515) 986-4524

8101 Birchwood Ct
Unit R
Urbandale, IA 50131
Phone (515) 471-9363

Interoperability endpoints

  • Direct secure messaging: cbejarno13087@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 6

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": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1487968822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 SE 3RD ST",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501118861",
            "telephone_number": "515-986-4524",
            "fax_number": "515-986-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 SE 3RD ST",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501118861",
            "telephone_number": "515-986-4524",
            "fax_number": "515-986-4531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEJARNO",
        "first_name": "CARIN",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-27",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A-112500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grimes, IA

Sources for this page

Verify at the official NPI Registry.