Individual provider Active NPI

Sarah L Beattie, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Ankeny, IA
National Provider Identifier
1902115652
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G108504 Issued in IA
Practice address
6950 NE 14TH St Ste 36
Ankeny, IA 50023-8903
Phone
(515) 289-1515
Fax
(515) 289-1511
NPI assigned
Sep 29, 2010
Last updated
May 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G108504 IA Primary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 00000 IA

Addresses

Primary practice location

6950 NE 14TH St Ste 36
Ankeny, IA 50023-8903

Mailing address

6950 NE 14TH St Ste 36
Ankeny, IA 50023-8903
Phone (515) 289-1515

Other identifiers 3

IdentifierTypeStateIssuer
1902115652OtherIABCBS
0058230MedicaidIA
321119OtherVALUE OPTIONS

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
I20101118000796 IA Practitioner - Nurse Practitioner 6901092881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Birchwood WellnessGroup PAC ID 7214249606, 2 clinicians

Practice addresses (Care Compare)

6950 NE 14TH St
Suite 36
Ankeny, IA 50023-8903
Phone (515) 289-1515

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00000IAMDOrthodontics and Dentofacial Orthopedic Dentist
G108504IAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Birchwood Wellness Psychiatric/Mental Health CurrentSince May 10, 2015 Accepting new patients
The Richmond Center PastSince Jun 26, 2008 Accepting new patients
Community and Family Resources Past Accepting new patients

Locations

6900 NE 14th St
Ste 29
Ankeny, IA 50023
Phone (515) 289-1515

6950 NE 14th St
Ste 36
Ankeny, IA 50023
Phone (515) 289-1515

Organizations & group practices 3

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": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1902115652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 NE 14TH ST STE 36",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500238903",
            "telephone_number": "515-289-1515",
            "fax_number": "515-289-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 NE 14TH ST STE 36",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500238903",
            "telephone_number": "515-289-1515",
            "fax_number": "515-289-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTIE",
        "first_name": "SARAH",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G108504",
            "primary": true
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "IA",
            "license": "00000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1902115652",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0058230",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "321119",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

Verify at the official NPI Registry.