Active NPI
Nichole L Bussnamas, PAC
- Physician Assistant
- Ankeny, IA
National Provider Identifier
1881684819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 001161
- Practice address
- 1605 SE Delaware Ave
Suite F
Ankeny, IA 50021-4594 - Phone
- (515) 964-5555
- Fax
- (515) 964-5505
- NPI assigned
- Oct 21, 2005
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 001161 | IA | Primary |
Addresses
Primary practice location
1605 SE Delaware Ave
Suite F
Ankeny, IA 50021-4594
Mailing address
1605 SE Delaware Ave
Suite F
Ankeny, IA 50021-4594
Phone (515) 964-5555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001161 | IA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Heart Center PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- West Des Moines, IA
- NPI 1164410932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1881684819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 SE DELAWARE AVE",
"address_2": "SUITE F",
"city": "ANKENY",
"state": "IA",
"postal_code": "500214594",
"telephone_number": "515-964-5555",
"fax_number": "515-964-5505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 SE DELAWARE AVE",
"address_2": "SUITE F",
"city": "ANKENY",
"state": "IA",
"postal_code": "500214594",
"telephone_number": "515-964-5555",
"fax_number": "515-964-5505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSSNAMAS",
"first_name": "NICHOLE",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-21",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "001161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ankeny, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.