Kathleen Fitzgerald, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AO54289 Issued in IA

Practice address

95 University Ave
Des Moines, IA 50314-3120

Phone

(515) 244-9500

Fax

(515) 244-9502

NPI assigned

Aug 11, 2006

Last updated

Sep 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• BHG Lxxxvi, LLC

  dba BHG Medical Services - Idaho

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Des Moines, IA
  • NPI 1831809862

  Nurse Practitioner

  Medicare reassignment NPD
• BHG Lxxxvi, LLC

  dba BHG Medical Services - Iowa

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Davenport, IA
  • NPI 1093421026

  Nurse Practitioner

  NPD
• Boone County Hospital

  • Critical Access Hospital
  • Boone, IA
  • NPI 1467434225
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1730190059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9514 HAMMONTREE DR",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503221356",
            "telephone_number": "515-971-5206",
            "fax_number": "515-244-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 UNIVERSITY AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143120",
            "telephone_number": "515-244-9500",
            "fax_number": "515-244-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "KATHLEEN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "AO54289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0423517",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler J Fisher, M.D.
• Cole Jones Fister, DPT
• Danielle Fitch, DNP, PMHNP-BC
• Jo Ann Fitz, LISW
• Douglas J Fitzgerald, R.PH
• Nicole Anne Fitzgerald, D.C.
• Elizabeth D Fitzpatrick
• Emma Fitzpatrick, LMSW
• Five Star Quality Care-Ia Inc (Union Park Health Services)
• Kimberly Ann Flagor

• Nurse Practitioner in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.