Individual provider Active NPI

Amy L Pichetti, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • West Des Moines, IA
National Provider Identifier
1629706635
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
53-80453-041 Issued in KS
Practice address
1401 50TH St Ste 100
West Des Moines, IA 50266-5924
Phone
(515) 225-7132
NPI assigned
Aug 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 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 53-80453-041 KS Primary

Addresses

Primary practice location

1401 50TH St Ste 100
West Des Moines, IA 50266-5924

Mailing address

3323 E Shoffner CT
Wichita, KS 67216

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
I20260206000882 IA Practitioner - Nurse Practitioner 0143605295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Geriatric ServicesGroup PAC ID 4587887088, 36 clinicians

Practice addresses (Care Compare)

1401 50TH St
Suite 100
West Des Moines, IA 50266-5924
Phone (515) 225-7132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-80453-041KSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Horizons Mental Health Center, Inc. CurrentSince Sep 6, 2022 Accepting new patients
Metro Geriatric Services 2 LLC CurrentSince Feb 1, 2026 Accepting new patients
Metro Geriatric Services CurrentSince Feb 1, 2026 Accepting new patients

Locations

1401 50th St
Ste 100
West Des Moines, IA 50266
Phone (515) 225-1845

1501 50th St
Ste 110
West Des Moines, IA 50266

1600 N Lorraine St
Ste 202
Hutchinson, KS 67501
Phone (620) 663-7595

Interoperability endpoints

  • Direct secure messaging: amy.pichetti.1@19896.direct.athenahealth.com

Organizations & group practices 3

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": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1629706635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3323 E SHOFFNER CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 50TH ST STE 100",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665924",
            "telephone_number": "515-225-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICHETTI",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "53-80453-041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.