Active NPI
Traci A Flanigan, CRNA
- Certified Registered Nurse Anesthetist
- West Des Moines, IA
National Provider Identifier
1598757643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- D082430
- Practice address
- 5901 Westown Pkwy
Suite 210
West Des Moines, IA 50266-8218 - Phone
- (515) 221-9222
- Fax
- (515) 221-0575
- NPI assigned
- Aug 16, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | D-082430 | IA | |
| Certified Registered Nurse Anesthetist | 367500000X | D082430 | IA | Primary |
Addresses
Primary practice location
5901 Westown Pkwy
Suite 210
West Des Moines, IA 50266-8218
Mailing address
5901 Westown Pkwy
Suite 210
West Des Moines, IA 50266-8218
Phone (515) 221-9222
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01118745 | Medicaid | IA | |
| 50171 | Other | IA | WELLMARK GROUP # |
| 50171 | Other | IA | MEDICARE GROUP NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.09 of 100
- Quality
- 75.46
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-082430 | IA | MD | Registered Nurse |
| D082430 | IA | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389225600000",
"number": "1598757643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5901 WESTOWN PKWY",
"address_2": "SUITE 210",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502668218",
"telephone_number": "515-221-9222",
"fax_number": "515-221-0575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 WESTOWN PKWY",
"address_2": "SUITE 210",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502668218",
"telephone_number": "515-221-9222",
"fax_number": "515-221-0575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLANIGAN",
"first_name": "TRACI",
"middle_name": "A",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-16",
"last_updated": "2014-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IA",
"license": "D-082430",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IA",
"license": "D082430",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01118745",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK GROUP #",
"identifier": "50171",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "50171",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.