Individual provider Active NPI

Mary Jolene Runkel, A.R.N.P.

  • Nurse Practitioner
  • Des Moines, IA
National Provider Identifier
1700868486
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
H062561 Issued in IA
Practice address
411 Laurel St
Suite A250
Des Moines, IA 50314-3017
Phone
(515) 235-5000
Fax
(515) 288-6713
NPI assigned
Nov 17, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X H062561 IA Primary

Addresses

Primary practice location

411 Laurel St
Suite A250
Des Moines, IA 50314-3017

Mailing address

5880 University Ave
Suite 205
West Des Moines, IA 50266-8220
Phone (515) 633-3835

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
I20050926000766 IA Practitioner - Nurse Practitioner 6002840378 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Knoxville Community Hospital Inc Nurse Practitioner CurrentSince Feb 1, 2019 Accepting new patients
Catholic Health Initiatives-Iowa Corp CurrentSince Oct 1, 2009 Accepting new patients
Knoxville Community Hospital Inc Current Accepting new patients
Catholic Health Initiatives-Iowa Corp Nurse Practitioner CurrentSince Oct 1, 2009 Accepting new patients
Iowa Heart Center PC Past Accepting new patients
Boone County Hospital Past Accepting new patients
Mercy Medical Center-Centerville Past Accepting new patients

Locations

1816 Philadelphia St
Ames, IA 50010
Phone (515) 232-2500

1 Saint Joseph Dr
Centerville, IA 52544
Phone (641) 437-3482

800 Mercy Dr
Ste 120
Council Bluffs, IA 51503
Phone (712) 388-2633

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

411 Laurel St
Ste A250
Des Moines, IA 50314
Phone (515) 235-5000

800 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6800

609 SE Kent St
Greenfield, IA 50849
Phone (641) 743-2123

1002 S Lincoln St
Knoxville, IA 50138
Phone (641) 842-1464

1202 W Howard St
Knoxville, IA 50138
Phone (641) 828-7144

3 S 4th Ave
Marshalltown, IA 50158
Phone (641) 754-5145

5880 University Ave
Ste 205
West Des Moines, IA 50266

Interoperability endpoints

  • Direct secure messaging: jolene.runkel.p1@direct.iowaheart.nextgenshare.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1700868486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5880 UNIVERSITY AVE",
            "address_2": "SUITE 205",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668220",
            "telephone_number": "515-633-3835",
            "fax_number": "515-633-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 LAUREL ST",
            "address_2": "SUITE A250",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143017",
            "telephone_number": "515-235-5000",
            "fax_number": "515-288-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNKEL",
        "first_name": "MARY",
        "middle_name": "JOLENE",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "H062561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.