Individual provider Active NPI

Megan Spreacker, ARNP

  • Pediatric Nurse Practitioner
  • Des Moines, IA
National Provider Identifier
1639545486
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
C118951 Issued in IA
Practice address
330 Laurel Street
Suite 2100
Des Moines, IA 50314-3068
Phone
(515) 643-8611
Fax
(515) 643-8812
NPI assigned
Aug 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X C118951 IA Primary

Addresses

Primary practice location

330 Laurel Street
Suite 2100
Des Moines, IA 50314-3068

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 643-8611

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
I20150918002047 IA Practitioner - Nurse Practitioner 4385951680 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinics, Inc Current Accepting new patients
Mercy Clinics, Inc CurrentSince Sep 19, 2021 Accepting new patients
Mercy Clinics, Inc. Current Accepting new patients

Locations

1601 NW 114th St
Ste 345
Des Moines, IA 50325
Phone (515) 222-7337

330 Laurel St
Ste 2100
Des Moines, IA 50314
Phone (515) 358-6500

405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259

5615 NW 86th St
Johnston, IA 50131
Phone (515) 223-5466

Interoperability endpoints

  • Direct secure messaging: mspreacker3958209@direct.trinity-health.org

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": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1639545486",
    "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": "515-643-8611",
            "fax_number": "515-643-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 LAUREL STREET",
            "address_2": "SUITE 2100",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143068",
            "telephone_number": "515-643-8611",
            "fax_number": "515-643-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPREACKER",
        "first_name": "MEGAN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-17",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IA",
            "license": "C118951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.