Individual provider Active NPI

Angela Pembroke, ARNP

  • Family Nurse Practitioner
  • Des Moines, IA
National Provider Identifier
1639844889
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A164687 Issued in IA
Practice address
501 SW 7TH St Ste a
Des Moines, IA 50309-4538
Phone
(515) 304-5505
Fax
(833) 972-5580
NPI assigned
Aug 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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 A164687 IA Primary

Addresses

Primary practice location

501 SW 7TH St Ste a
Des Moines, IA 50309-4538

Mailing address

501 SW 7TH St Ste a
Des Moines, IA 50309-4538
Phone (515) 304-5505

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
I20210908002198 IA Practitioner - Nurse Practitioner 1850797309 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A164687IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Axial Clinic Ia PC Past Accepting new patients
Axial Clinic Ia PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: angie.pembroke.2@24435.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": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1639844889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 SW 7TH ST STE A",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503094538",
            "telephone_number": "515-304-5505",
            "fax_number": "833-972-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SW 7TH ST STE A",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503094538",
            "telephone_number": "515-304-5505",
            "fax_number": "833-972-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEMBROKE",
        "first_name": "ANGELA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A164687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.