Active NPI
Kelsie Rae Whitaker, FNP-C
- Family Nurse Practitioner
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71011510A
- Practice address
- 1200 Pleasant St
Des Moines, IA 50309-1406 - Phone
- (515) 241-5750
- NPI assigned
- Sep 16, 2021
- Last updated
- Sep 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71011510A | IN | Primary |
Addresses
Primary practice location
1200 Pleasant St
Des Moines, IA 50309-1406
Mailing address
4208 Cherrywood CT
West Des Moines, IA 50265-5368
Phone (317) 965-2573
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300055315 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 Pleasant St
Des Moines, IA 50309-1406
Phone (515) 241-5926
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71011510A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Iowa Hospital Corporation | Current | Accepting new patients | |
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Central Iowa Hospital Corporation | Family | Current | Accepting new patients |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Central Iowa Hospital Corporation | Current | Accepting new patients |
Locations
1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926
1200 Pleasant St
#206
Des Moines, IA 50309
Phone (515) 241-5100
5819 Reliable Pkwy
Chicago, IL 60686
1629 Medical Arts Blvd
#120
Anderson, IN 46011
Phone (765) 298-2400
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
7979 N Shadeland Ave
Indianapolis, IN 46250
Phone (317) 621-2627
7979 N Shadeland Ave
Ste 200
Indianapolis, IN 46250
Phone (317) 621-4300
Interoperability endpoints
- kscaringe7919@ecommunitydirect.com
- kscaringe932744@direct.unitypoint.org
Organizations & group practices 6
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.
-
dba East Des Moines Family Care Center
- Family Medicine Physician
- Des Moines, IA
- NPI 1104879576
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
dba IMMC Outpatient Pharmacy
- Pharmacy
- Des Moines, IA
- NPI 1003352949
-
- Internal Medicine Physician
- Des Moines, IA
- NPI 1992737258
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
dba Community Physician Network
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Iowa Lutheran Hospital
- General Acute Care Hospital
- Des Moines, IA
- NPI 1356433049
-
dba Iowa Methodist Medical Center
- General Acute Care Hospital
- Des Moines, IA
- NPI 1396837951
-
dba Iowa Methodist Medical Center-Methodist West
- General Acute Care Hospital
- West Des Moines, IA
- NPI 1598905762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1811667330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4208 CHERRYWOOD CT",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502655368",
"telephone_number": "317-965-2573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 PLEASANT ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503091406",
"telephone_number": "515-241-5750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITAKER",
"first_name": "KELSIE",
"middle_name": "RAE",
"name_prefix": "Ms.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-16",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71011510A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300055315",
"state": "IN"
}
],
"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 Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.