Dianne Patricia Cooper
Individual provider Active NPI Certified Registered Nurse Anesthetist · Des Moines, IA
NPI 1770544686 · NPPES record last updated Feb 4, 2014
Key facts
- NPI
- 1770544686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- D-079349 (IA)
- Practice address
- 6079 NE 9TH St
Des Moines, IA 50313-1531 - Phone
- (515) 778-4982
- NPI assigned
- Mar 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Medicare Care Compare profile
- 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 PLLC
Practice addresses (Care Compare)
2425 Westown Pkwy
Suite 100
West Des Moines, IA 50266-1425
Phone (515) 991-6790
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080527000535 | IA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9931278397 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-079349 | IA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boone County Hospital | Current |
Accepting new patients | |
| Boone County Hospital | Current |
Accepting new patients | |
| Central States Medicine, PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Medical Center Anesthesiologists, P.C. | Current |
Accepting new patients | |
| Central States Medicine, PLLC | Current |
Accepting new patients | |
| Boone County Hospital | Current | 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
411 Laurel St
Ste 3170
Des Moines, IA 50314
Phone (515) 283-0463
1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200
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
2425 Westown Pkwy
Ste 100
West Des Moines, IA 50266
Phone (515) 222-8346
1755 59th Pl
West Des Moines, IA 50266
Phone (515) 247-4240
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | D-079349 | IA | Yes |
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
Other providers in Des Moines, IA
- Sara Marie Coon
- Amanda Eileen Cooney
- Peter Edward Coonrod
- Alexis Cooper
- Barry Cooper
- Wendy Ann Cooper
- Erin Copeland
- Donald Wayne Copley
- Brittani Nicole Corbin
- Karen Cordes
All providers in Des Moines, IA · Certified Registered Nurse Anesthetist in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.