Individual provider Active NPI

Mavis Tabi Frimpong, ARNP

  • Adult Health Nurse Practitioner
  • Norwalk, IA
National Provider Identifier
1730807124
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
H17056 Issued in KS
Practice address
815 High Rd
Norwalk, IA 50211-1462
Phone
(515) 981-4268
NPI assigned
Aug 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X H17056 KS Primary

Addresses

Primary practice location

815 High Rd
Norwalk, IA 50211-1462

Mailing address

4905 NW 15TH St
Ankeny, IA 50023-6049
Phone (405) 881-2654

Other practice location 1

1150 28th St
Des Moines, IA 50311-4142
Phone (515) 650-8646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230120002050 IA Practitioner - Nurse Practitioner 8921479478 Reassigns benefits to 1 organization
I20250314002949 IL Practitioner - Nurse Practitioner 8921479478 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H17056KSMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services of Iowa PLLC CurrentSince Mar 18, 2024 Accepting new patients
Community Care Health Network LLC CurrentSince Apr 1, 2024 Accepting new patients
Monogram Health Professional Services PC CurrentSince Feb 20, 2025 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

4620 E 53rd St
Ste 200
Davenport, IA 52807
Phone (563) 213-5100

332 S Michigan Ave
Ste 900
Chicago, IL 60604
Phone (813) 395-1073

5410 Maryland Way
Ste 400
Brentwood, TN 37027

Interoperability endpoints

  • Direct secure messaging: mavis.frimpong.1@22854.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": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1730807124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 NW 15TH ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500236049",
            "telephone_number": "405-881-2654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 HIGH RD",
            "city": "NORWALK",
            "state": "IA",
            "postal_code": "502111462",
            "telephone_number": "515-981-4268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 28th St",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503114142",
            "country_code": "US",
            "telephone_number": "515-650-8646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIMPONG",
        "first_name": "MAVIS",
        "middle_name": "TABI",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KS",
            "license": "H17056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, IA

Sources for this page

Verify at the official NPI Registry.