NPIMap

Individual provider Active NPI

Ann Gonnerman, ARNP

  • Family Nurse Practitioner
  • Des Moines, IA
National Provider Identifier
1629410642
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A117061 Issued in IA
Practice address
6601 SW 9TH St
Des Moines, IA 50315-6138
Phone
(515) 643-9400
Fax
(515) 643-9405
NPI assigned
Jul 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A117061 IA Primary

Addresses

Primary practice location

6601 SW 9TH St
Des Moines, IA 50315-6138

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 643-9400

Other practice location 1

1111 6th Ave
Emergency Dept
Des Moines, IA 50314-2613
Phone (515) 247-3173

Other names 1

  • Ann Oltrogge Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130911000881 IA Practitioner - Nurse Practitioner 0345484499 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Des Moines River Physicians LLC 45 clinicians
Madison County Memorial Hospital 42 clinicians

Practice addresses (Care Compare)

1111 6TH Ave
Des Moines, IA 50314-2613
Phone (515) 247-3121

300 W Hutchings St
Winterset, IA 50273-2104
Phone (515) 462-2373

300 W Hutchings St
Winterset, IA 50273-2109

Hospital & facility affiliations

  • Madison County Health Care System Hospital, Winterset, IA, CCN 161326
  • Mercyone Des Moines Medical Center Hospital, Des Moines, IA, CCN 160083

Merit-based Incentive Payment System (MIPS)

Final score
85.29 of 100Reported as group
Quality
80.31
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A117061IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Madison County Memorial Hospital CurrentSince Aug 1, 2020 Accepting new patients
Des Moines River Physicians, LLC CurrentSince May 1, 2015 Accepting new patients
Des Moines River Physicians, LLC Current Accepting new patients
Madison County Memorial Hospital CurrentSince Aug 1, 2020 Accepting new patients
Des Moines River Physicians, LLC CurrentSince May 1, 2015 Accepting new patients
Madison County Memorial Hospital Current Accepting new patients

Locations

1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121

300 W Hutchings St
Winterset, IA 50273
Phone (515) 223-4368

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/madico-8e3b1615
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/823d67d6-97c5-40a2-b084-56d06cb82099/
  • Direct secure messaging: agonnerman3945352@direct.trinity-health.org

Organizations & group practices 8

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 5

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": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1629410642",
    "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": "515-643-9400",
            "fax_number": "515-643-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 SW 9TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503156138",
            "telephone_number": "515-643-9400",
            "fax_number": "515-643-9405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 6th Ave",
            "address_2": "Emergency Dept",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503142613",
            "country_code": "US",
            "telephone_number": "515-247-3173",
            "fax_number": "515-643-8712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONNERMAN",
        "first_name": "ANN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-18",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A117061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "OLTROGGE",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.