NPIMap

Organization Active NPI

Primary Health Care, Inc.

Doing business as Primary Health Care at East High School

  • Federally Qualified Health Center (FQHC)
  • Des Moines, IA
National Provider Identifier
1497522262
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PRIMARY HEALTH CARE, INC.
Doing business as
Primary Health Care at East High School
Practice address
815 E 13TH St
Des Moines, IA 50316-3441
Phone
(515) 248-1500
Fax
(515) 248-1510
NPI assigned
Dec 11, 2023
Last updated
Jan 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Authorized official

Name
Nathaniel A Simpson
Title
Chief Executive Officer
Phone
(515) 248-1441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

815 E 13TH St
Des Moines, IA 50316-3441

Mailing address

1200 University Ave Ste 200
Des Moines, IA 50314-2355
Phone (515) 248-1447

Other names 1

  • Primary Health Care at East High School Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031106000487 IA Part B Supplier - Clinic/Group Practice 8426966755 Receives reassigned benefits from 83 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Urbandale, IA; Marshalltown, IA; Des Moines, IA; Ames, IA
O20231228001337 IA Part A Provider - Federally Qualified Health Center (FQHC) 8426966755 Practice locations: Des Moines, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497522262. Details of each certification follow.

Federally qualified health center certification: CCN 161014

Legal name
PRIMARY HEALTH CARE INC
Doing business as
PRIMARY HEALTH CARE AT EAST HIGH SCHOOL
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 1, 2024
Last certification
Jan 1, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 13, 1989 in IA
Enrollment address
815 E 13TH St
Des Moines, IA 50316-3441

Other NPIs with the same Medicare PAC ID 12

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Primary Health Care Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1200 University Ave
Ste 100
Des Moines, IA 50314
Phone (515) 248-1888

1216 Martin Luther King Jr Pkwy
Des Moines, IA 50314
Phone (515) 248-1460

1800 Grand Ave
Des Moines, IA 50309
Phone (515) 242-7846

219 E Court Ave
Des Moines, IA 50309
Phone (515) 243-4277

2401 SE 14th St
Des Moines, IA 50320
Phone (515) 336-4604

2401 SE 14th St
Side Clin
Des Moines, IA 50320
Phone (515) 336-4604

3509 E 29th St
Des Moines, IA 50317
Phone (515) 248-1600

701 Grand Ave
Des Moines, IA 50309
Phone 515248141460

101 Iowa Ave W
Ste 102
Marshalltown, IA 50158
Phone (641) 753-4021

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Billie Wade Individual Corporate Director May 1, 2012
Janet L Hicks Individual Corporate Director Jan 26, 2018
Sandra Hansen Individual Corporate Director Oct 1, 2014
Alicia Luisa Medici Huguelet Individual Corporate Director Jan 27, 2023
Roger Alan Lacoy Individual Corporate Director Oct 30, 2015
Maryna N Salas Individual Corporate Director Jan 27, 2023
Scott Clair Individual Corporate Director Apr 26, 2013
Juan Cadenillas Individual Corporate Director Jul 1, 2008
William Schoenenberger Individual Corporate Director Jul 1, 2008
John Preston Shaw Individual Corporate DirectorArea Director Apr 3, 2022
Benjamin E Bellus Individual Corporate Director Jul 1, 1998
Sergio Hernandez Individual Corporate Director Jul 1, 2007
Denise Essman Individual Corporate Director Aug 31, 2018
Karin Jean Derry Individual Corporate Director May 27, 2016
Jennifer Lynne Nobisch Individual Corporate Director Jun 1, 2021
Douglas Franklin Davis Individual Corporate DirectorClinic Administrator Jan 31, 2022
Ted Morris Johnson Individual Corporate Director May 27, 2016
Kelly a Huntsman Individual Corporate DirectorChief Executive Officer Apr 29, 2002
W-2 Managing EmployeeChief Executive Officer Apr 29, 2002
Elizabeth Irene Frantum Individual Corporate DirectorChief Financial Officer Oct 31, 2022

Practitioners & affiliated clinicians

Practitioners 90

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 90

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1497522262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 UNIVERSITY AVE STE 200",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142355",
            "telephone_number": "515-248-1447",
            "fax_number": "515-248-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 E 13TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503163441",
            "telephone_number": "515-248-1500",
            "fax_number": "515-248-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-11",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "515-248-1441"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Health Care at East High School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.