Carol L Horner, DO
Individual provider Active NPI Internal Medicine Physician · Des Moines, IA
NPI 1508979543 · NPPES record last updated Jan 17, 2023
Key facts
- NPI
- 1508979543
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- DO-02181 (IA)
- Practice address
- 1111 6TH Ave
Des Moines, IA 50314-2613 - Phone
- (515) 247-4240
- Fax
- (515) 247-4239
- NPI assigned
- Aug 16, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Clinics Inc
Practice addresses (Care Compare)
1111 6TH Ave
Des Moines, IA 50314-2610
1111 6TH Ave
Des Moines, IA 50314-2613
Phone (515) 247-4240
1111 6TH Ave E Tower
Des Moines, IA 50314-2610
330 Laurel St
Suite 1200
Des Moines, IA 50314-3044
Phone (515) 643-6290
Hospital & facility affiliations
- Mercyone Des Moines Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040526000455 | IA | Practitioner - Internal Medicine |
5698756674 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinics Inc | Current |
Accepting new patients | |
| Mercy Clinics, Inc. | Current |
Accepting new patients | |
| Mercy Clinics, Inc. | Current | Accepting new patients | |
| Catholic Health Initiatives-Iowa Corp | Past | Accepting new patients |
Locations
330 Laurel St
Ste 1200
Des Moines, IA 50314
Phone (515) 643-5454
1601 NW 114th St
Ste 230
Des Moines, IA 50325
Phone (515) 222-7728
1350 Des Moines St
Ste 100
Des Moines, IA 50309
Phone (515) 643-0400
411 Laurel St
Ste 2310
Des Moines, IA 50314
Phone (515) 247-4261
411 Laurel St
Ste A120
Des Moines, IA 50314
Phone (515) 247-3970
1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121
25 W Hickman Rd
Waukee, IA 50263
Phone (515) 358-0150
Interoperability endpoints
- chorner3947651@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | DO-02181 | IA | |
| Internal Medicine Physician | 207R00000X | DO-02181 | IA | Yes |
Addresses
Primary practice location
1111 6TH Ave
Des Moines, IA 50314-2613
Mailing address
PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 247-4240
NPI Registry JSON
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673913600000",
"number": "1508979543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1475",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503051475",
"telephone_number": "515-247-4240",
"fax_number": "515-247-4239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 6TH AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503142613",
"telephone_number": "515-247-4240",
"fax_number": "515-247-4239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORNER",
"first_name": "CAROL",
"middle_name": "L",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-16",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IA",
"license": "DO-02181",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IA",
"license": "DO-02181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
- Simone Barbara Hopton
- Geena Hopwood
- Cynthia Hoque
- Lisa Louise Hora
- Danielle R Horgen
- Kristin K Horning
- Neil R Horning
- Jacob Horstman
- Jimmie Rogers Horton Jr.
- Brenda Lee Hoskins-Mein
All providers in Des Moines, IA · Internal Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.