Individual provider Active NPI

Denise Younke, ARNP

  • Family Nurse Practitioner
  • Cedar Rapids, IA
National Provider Identifier
1740699925
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A111715 Issued in IA
Practice address
3525 Center Point Rd NE Ste C
Cedar Rapids, IA 52402-5569
Phone
(319) 491-4751
Fax
(865) 217-8278
NPI assigned
Aug 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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 A111715 IA Primary

Addresses

Primary practice location

3525 Center Point Rd NE Ste C
Cedar Rapids, IA 52402-5569

Mailing address

3525 Center Point Rd NE Ste C
Cedar Rapids, IA 52402-5569
Phone (319) 491-4751

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
I20151207002728 IA Practitioner - Nurse Practitioner 5496055816 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A111715IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Physician Group, Iowa LLC Family CurrentSince Mar 1, 2021 Accepting new patients
Community Care Health Network LLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

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

2801 Heartland Dr
Coralville, IA 52241
Phone (319) 645-4001

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

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, 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": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1740699925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 CENTER POINT RD NE STE C",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025569",
            "telephone_number": "319-491-4751",
            "fax_number": "865-217-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 CENTER POINT RD NE STE C",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025569",
            "telephone_number": "319-491-4751",
            "fax_number": "865-217-8278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNKE",
        "first_name": "DENISE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A111715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.