Individual provider Active NPI

Dianne Patricia Cooper

  • Certified Registered Nurse Anesthetist
  • Des Moines, IA
National Provider Identifier
1770544686
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
D-079349 Issued in IA
Practice address
6079 NE 9TH St
Des Moines, IA 50313-1531
Phone
(515) 778-4982
NPI assigned
Mar 30, 2006
Last updated
Feb 4, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X D-079349 IA Primary

Addresses

Primary practice location

6079 NE 9TH St
Des Moines, IA 50313-1531

Mailing address

6079 NE 9TH St
Des Moines, IA 50313-1531
Phone (515) 778-4982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080527000535 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9931278397 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central States Medicine PLLCGroup PAC ID 3173746435, 10 clinicians

Practice addresses (Care Compare)

2425 Westown Pkwy
Suite 100
West Des Moines, IA 50266-1425
Phone (515) 991-6790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
D-079349IAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Center Anesthesiologists, P.C. CurrentSince Oct 6, 2019 Accepting new patients
Central States Medicine, PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 24, 2022 Accepting new patients
Boone County Hospital Current Accepting new patients
Boone County Hospital CurrentSince Jan 1, 2020 Accepting new patients
Central States Medicine, PLLC CurrentSince Oct 24, 2022 Accepting new patients
Boone County Hospital CurrentSince Jan 1, 2020 Accepting new patients
Des Moines Anesthesiologists PC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1015 Union St
Boone, IA 50036
Phone (515) 432-3140

1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200

411 Laurel St
Ste 3170
Des Moines, IA 50314
Phone (515) 283-0463

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

1225 Jordan Creek Pkwy
Ste 180
West Des Moines, IA 50266
Phone (515) 283-0463

1755 59th Pl
West Des Moines, IA 50266
Phone (515) 247-4240

2425 Westown Pkwy
Ste 100
West Des Moines, IA 50266
Phone (515) 222-8346

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": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1770544686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6079 NE 9TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503131531",
            "telephone_number": "515-778-4982",
            "fax_number": "515-289-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6079 NE 9TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503131531",
            "telephone_number": "515-778-4982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "DIANNE",
        "middle_name": "PATRICIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D-079349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.