Individual provider Active NPI

Angela J Veenstra, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • West Des Moines, IA
National Provider Identifier
1811960768
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2022066633 Issued in IA
Practice address
1001 Office Park Rd Ste 317
West Des Moines, IA 50265-2509
Phone
(515) 957-1190
Fax
(515) 957-7950
NPI assigned
Feb 10, 2006
Last updated
Apr 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2022066633 IA Primary

Addresses

Primary practice location

1001 Office Park Rd Ste 317
West Des Moines, IA 50265-2509

Mailing address

1001 Office Park Rd Ste 317
West Des Moines, IA 50265-2509
Phone (515) 957-1190

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
I20040109000111 IA Practitioner - Nurse Practitioner 7214837194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1001 Office Park Rd
Suite 317
West Des Moines, IA 50265-2509
Phone (515) 957-1190

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022066633IAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Meaningful Life LLC Psychiatric/Mental Health CurrentSince Apr 22, 2024 Accepting new patients
Boone County Hospital Past Accepting new patients

Locations

1001 Office Park Rd
Ste 317
West Des Moines, IA 50265
Phone (515) 957-1190

Interoperability endpoints

  • Direct secure messaging: angelaveenstra@tic.allscriptsdirect.net

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1811960768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 OFFICE PARK RD STE 317",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652509",
            "telephone_number": "515-957-1190",
            "fax_number": "515-957-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 OFFICE PARK RD STE 317",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652509",
            "telephone_number": "515-957-1190",
            "fax_number": "515-957-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEENSTRA",
        "first_name": "ANGELA",
        "middle_name": "J",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "2022066633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.