Individual provider Active NPI

Ikami A B Sasa, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Independence, IA
National Provider Identifier
1619460201
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G105815 Issued in IA
Practice address
2277 Iowa Ave
Independence, IA 50644-9106
Phone
(319) 334-2583
Fax
(319) 334-5402
NPI assigned
Jun 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G105815 IA Primary

Addresses

Primary practice location

2277 Iowa Ave
Independence, IA 50644-9106

Mailing address

2277 Iowa Ave
Independence, IA 50644-9106
Phone (319) 334-2583

Other identifiers 1

IdentifierTypeStateIssuer
0074575MedicaidIA

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
I20181207001020 IA Practitioner - Nurse Practitioner 4789928318 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Cedar Rapids, IA 52408
Phone (319) 775-5215

Merit-based Incentive Payment System (MIPS)

Final score
80.02 of 100Reported as group
Quality
75.68
Promoting interoperability
78
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Institute CurrentSince Aug 19, 2024 Accepting new patients
Mercy Hospital, Iowa City, Iowa Current Accepting new patients
Hope Behavioral Health Clinic Psychiatric/Mental Health CurrentSince Aug 8, 2024 Accepting new patients
Mental Health Institute CurrentSince Aug 19, 2024 Accepting new patients

Locations

1930 Wiley Blvd SW
Unit 8895
Cedar Rapids, IA 52408
Phone (319) 775-5215

2277 Iowa Ave
Independence, IA 50644
Phone (319) 334-2583

Interoperability endpoints

  • Direct secure messaging: ikamasasa@mic.allscriptsdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1619460201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2277 IOWA AVE",
            "city": "INDEPENDENCE",
            "state": "IA",
            "postal_code": "506449106",
            "telephone_number": "319-334-2583",
            "fax_number": "319-334-5402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2277 IOWA AVE",
            "city": "INDEPENDENCE",
            "state": "IA",
            "postal_code": "506449106",
            "telephone_number": "319-334-2583",
            "fax_number": "319-334-5402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASA",
        "first_name": "IKAMI",
        "middle_name": "A B",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-08",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G105815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074575",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, IA

Sources for this page

Verify at the official NPI Registry.