Individual provider Active NPI

Lauren Kay Mancieri, ARNP

  • Nurse Practitioner
  • Marshalltown, IA
National Provider Identifier
1598345415
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A162686 Issued in IA
Practice address
101 Iowa Avenue W
Ste 102
Marshalltown, IA 50158-4768
Phone
(641) 753-4021
Fax
(515) 644-6792
NPI assigned
Apr 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A162686 IA Primary

Addresses

Primary practice location

101 Iowa Avenue W
Ste 102
Marshalltown, IA 50158-4768

Mailing address

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

Other names 1

  • Lauren Kay Clark Former name

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
I20210525002210 IA Practitioner - Nurse Practitioner 0042619090 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
Primary Health Care IncGroup PAC ID 8426966755, 72 clinicians

Practice addresses (Care Compare)

2353 SE 14TH St
Des Moines, IA 50320-1109
Phone (515) 248-1400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A162686IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
QV Urgent Care Ia PLLC CurrentSince Jun 1, 2021 Accepting new patients
Primary Health Care, Inc. CurrentSince Jan 23, 2023 Accepting new patients
QV Urgent Care Ia PLLC CurrentSince Jun 1, 2021 Accepting new patients
Primary Health Care, Inc. CurrentSince Jan 23, 2023 Accepting new patients
Primary Health Care, Inc. Past Accepting new patients

Locations

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

2353 SE 14th St
Des Moines, IA 50320
Phone (515) 248-1400

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

801 N Grand Ave
Mt Pleasant, IA 52641
Phone (319) 984-4775

1817 1st Ave E
Newton, IA 50208
Phone (641) 458-3055

Organizations & group practices 5

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 1

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": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1598345415",
    "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": "101 IOWA AVENUE W",
            "address_2": "STE 102",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501584768",
            "telephone_number": "641-753-4021",
            "fax_number": "515-644-6792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCIERI",
        "first_name": "LAUREN",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A162686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "CLARK",
            "middle_name": "KAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marshalltown, IA

Sources for this page

Verify at the official NPI Registry.