Individual provider Active NPI

Frederick James Nesbit III, ARNP

  • Family Nurse Practitioner
  • Des Moines, IA
National Provider Identifier
1508477316
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A160340 Issued in IA
Practice address
215 Euclid Ave
Des Moines, IA 50313-4403
Phone
(515) 666-8670
NPI assigned
Aug 14, 2020
Last updated
Jul 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 202422 AK
Family Nurse Practitioner 363LF0000X A160340 IA Primary

Addresses

Primary practice location

215 Euclid Ave
Des Moines, IA 50313-4403

Mailing address

PO Box 746870
Atlanta, GA 30374-6870
Phone (469) 727-6675

Other practice location 1

2355 Highway 36 W Ste 400
Roseville, MN 55113-3905
Phone (763) 412-1993

Other practice location 2

3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone (907) 228-8300

Other practice location 3

4841 SE 14th St
Des Moines, IA 50320-1616
Phone (515) 415-4081

Other identifiers 1

IdentifierTypeStateIssuer
A160340OtherIAIOWA BORAD OF NURSING

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
I20240507002822 IA Practitioner - Nurse Practitioner 9739548983 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group of Iowa LLCGroup PAC ID 7113373168, 11 clinicians

Practice addresses (Care Compare)

215 Euclid Ave
Des Moines, IA 50313-4403
Phone (515) 666-8670

4841 SE 14TH St
Des Moines, IA 50320-1616
Phone (515) 415-4081

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
202422AKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Des Moines River Physicians, LLC CurrentSince Nov 1, 2024 Accepting new patients
Oak Street Health Physicians Group of Iowa LLC CurrentSince Apr 29, 2024 Accepting new patients
Greenwood Medical Services LLC CurrentSince Nov 15, 2020 Accepting new patients
Des Moines River Physicians, LLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121

215 Euclid Ave
Des Moines, IA 50313
Phone (515) 282-8454

4841 SE 14th St
Des Moines, IA 50320
Phone (515) 415-4081

1755 59th Pl
West Des Moines, IA 50266
Phone (515) 247-4240

Interoperability endpoints

  • Direct secure messaging: fnesbit620682@direct.peacehealth.org
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1508477316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746870",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746870",
            "telephone_number": "469-727-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 EUCLID AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503134403",
            "telephone_number": "515-666-8670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2355 Highway 36 W Ste 400",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "MN",
            "postal_code": "551133905",
            "country_code": "US",
            "telephone_number": "763-412-1993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 Tongass Ave",
            "address_purpose": "LOCATION",
            "city": "Ketchikan",
            "state": "AK",
            "postal_code": "999015746",
            "country_code": "US",
            "telephone_number": "907-228-8300",
            "fax_number": "907-228-8440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4841 SE 14th St",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503201616",
            "country_code": "US",
            "telephone_number": "515-415-4081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NESBIT",
        "first_name": "FREDERICK",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-14",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "202422",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A160340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA BORAD OF NURSING",
            "identifier": "A160340",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.