Stacy Jo Anderson, ARNP
Individual provider Active NPI Family Nurse Practitioner · Urbandale, IA
NPI 1891421202 · NPPES record last updated Mar 11, 2026
Key facts
- NPI
- 1891421202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- A165547 (IA)
- Practice address
- 7555 Hickman Rd
Urbandale, IA 50322-4620 - Phone
- (515) 225-7201
- Fax
- (515) 225-9213
- NPI assigned
- Jul 27, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 13
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Primary Health Care Inc
Practice addresses (Care Compare)
2353 SE 14TH St
Des Moines, IA 50320-1109
Phone (515) 248-1400
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220912002988 | IA | Practitioner - Nurse Practitioner | 0446635478 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A165547 | IA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Health Care, Inc. | Current |
Accepting new patients | |
| Primary Health Care, Inc. | Current |
Accepting new patients |
Locations
1200 University Ave
Ste 200
Des Moines, IA 50314
Phone (515) 248-1447
2353 SE 14th St
Des Moines, IA 50320
Phone (515) 248-1400
7555 Hickman Rd
Urbandale, IA 50322
Phone (515) 225-7201
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A165547 | IA | Yes |
Addresses
Primary practice location
7555 Hickman Rd
Urbandale, IA 50322-4620
Mailing address
1200 University Ave Ste 200
Des Moines, IA 50314-2355
Phone (515) 248-1447
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | gracelandugrad@yahoo.com | Direct |
Other providers in Urbandale, IA
- Amy Elliott, LLC
- Anderson Family Chiropractic, P.C.
- Halie Ann Anderson
- Janelle Alivia Anderson
- Megan Marie Anderson
- Thomas Alden Anderson
- Apria Healthcare LLC
- Arcon Enterprises Inc
- Daffney Arnold
- Michael R. Arnold
All providers in Urbandale, IA · Family Nurse Practitioner in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2026. 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.
- Order and Referring (CMS).
- 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.