Individual provider Active NPI

Becky L Johnson, DNP, ARNP, AAHIVS

  • Nurse Practitioner
  • Des Moines, IA
National Provider Identifier
1891146999
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
H123398 Issued in IA
Practice address
1200 University Ave
Des Moines, IA 50314-2343
Phone
(515) 248-1500
NPI assigned
Jun 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X H123398 IA
Nurse Practitioner 363L00000X H123398 IA Primary

Addresses

Primary practice location

1200 University Ave
Des Moines, IA 50314-2343

Mailing address

1200 University Ave
Ste 200
Des Moines, IA 50314-2355
Phone (515) 248-1447

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
I20160912002671 IA Practitioner - Nurse Practitioner 1850687187 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Health Care IncGroup PAC ID 8426966755, 72 clinicians

Practice addresses (Care Compare)

1200 University Ave
Suite 120
Des Moines, IA 50314-2355
Phone (515) 248-1500

1200 University Ave
Suite 200
Des Moines, IA 50314-2343

2353 SE 14TH St
Des Moines, IA 50320-1109
Phone (515) 248-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Primary Health Care, Inc. CurrentSince Sep 13, 2016 Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Sep 8, 2025 Accepting new patients
Primary Health Care, Inc. CurrentSince Sep 13, 2016 Accepting new patients
Boone County Hospital Past Accepting new patients
Primary Health Care, Inc. Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

1200 University Ave
Ste 200
Des Moines, IA 50314
Phone (515) 248-1447

3509 E 29th St
Des Moines, IA 50317
Phone (515) 248-1600

2103 Ingersoll Ave
Des Moines, IA 50312
Phone (515) 279-6424

2353 SE 14th St
Des Moines, IA 50320
Phone (515) 248-1400

1200 University Ave
Ste 120
Des Moines, IA 50314
Phone (515) 248-1500

1215 Pleasant St
Ste 506
Des Moines, IA 50309
Phone (515) 214-4044

202 4th Ave
Grinnell, IA 50112
Phone (641) 236-2008

Interoperability endpoints

  • Direct secure messaging: bjohnson638500@direct.ochin.org
  • Direct secure messaging: bjohnson1203311@direct.unitypoint.org

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1891146999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 UNIVERSITY AVE",
            "address_2": "STE 200",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142355",
            "telephone_number": "515-248-1447",
            "fax_number": "515-248-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 UNIVERSITY AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142343",
            "telephone_number": "515-248-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BECKY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DNP, ARNP, AAHIVS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-29",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "H123398",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "H123398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.