Individual provider Active NPI

Christina Sue Warren, ARNP

  • Family Nurse Practitioner
  • West Des Moines, IA
National Provider Identifier
1730406356
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A073427 Issued in IA
Practice address
6000 University Ave Ste 350
West Des Moines, IA 50266-8219
Phone
(515) 226-8484
Fax
(515) 226-8487
NPI assigned
Apr 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A073427 IA
Family Nurse Practitioner 363LF0000X A073427 IA Primary

Addresses

Primary practice location

6000 University Ave Ste 350
West Des Moines, IA 50266-8219

Mailing address

6800 Lake Dr Ste 285
West Des Moines, IA 50266-2544
Phone (515) 226-3116

Other names 1

  • Christina Sue Warren Former name

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
I20100818001048 IA Practitioner - Nurse Practitioner 2769372846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Dermatology Clinic PLCGroup PAC ID 2961394713, 22 clinicians

Practice addresses (Care Compare)

2913 5TH Ave S
Fort Dodge, IA 50501-2923
Phone (515) 955-4440

3729 86TH St
Urbandale, IA 50322-4008
Phone (515) 277-2813

6000 University Ave
Suite 350
West Des Moines, IA 50266-8219
Phone (515) 226-3116

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A073427IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Dermatology Clinic PLC Nurse Practitioner CurrentSince Jun 26, 2010 Accepting new patients
Iowa Dermatology Clinic PLC Current Accepting new patients

Locations

6000 University Ave
Ste 350
West Des Moines, IA 50266
Phone (515) 226-8484

6800 Lake Dr
Ste 285
West Des Moines, IA 50266
Phone (515) 570-3980

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1730406356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 LAKE DR STE 285",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502662544",
            "telephone_number": "515-226-3116",
            "fax_number": "515-226-9341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 UNIVERSITY AVE STE 350",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668219",
            "telephone_number": "515-226-8484",
            "fax_number": "515-226-8487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "CHRISTINA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-21",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A073427",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A073427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "WARREN",
            "middle_name": "SUE",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.