Megan L Stukenholtz, ARNP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

118802 Issued in IA

Practice address

2815 100TH St # 113
Urbandale, IA 50322-3860

Phone

(515) 344-7755

Fax

(515) 809-3855

NPI assigned

Jun 21, 2012

Last updated

May 31, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Oct 1, 2024 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Bluebird Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Urbandale, IA
  • NPI 1083385306
  Authorized official Same address or phone
• Iowa Physicians Clinic Medical Foundation

  dba Iowa Health Physicians

  • Durable Medical Equipment & Medical Supplies
  • Des Moines, IA
  • NPI 1598713588
  NPD (past)

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1629331848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16174 150TH ST",
            "city": "PERRY",
            "state": "IA",
            "postal_code": "502206211",
            "telephone_number": "515-344-7755",
            "fax_number": "515-809-3855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 100TH ST # 113",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223860",
            "telephone_number": "515-344-7755",
            "fax_number": "515-809-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUKENHOLTZ",
        "first_name": "MEGAN",
        "middle_name": "L",
        "credential": "ARNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "118802",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "118802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01353127",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629331848",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Steward
• Emily Kay Stewart, ARNP
• Trystin Stille, DC
• Wendy Suzanne Street, ARNP, PMHNP-BC
• Rylee Jo Stroud
• Amber A Stumpf
• Kristina Ann Sturdevant
• Maggie Suits, LMHC
• Support Services of Iowa, LLC
• Supreme Care LLC

• Psychiatric/Mental Health Nurse Practitioner in Urbandale, IA
• Providers in Urbandale, IA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.