Active NPI
Caleb Anderson, AGACNP-BC
- Acute Care Nurse Practitioner
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- H136852
- Practice address
- 411 Laurel St
Suite A250
Des Moines, IA 50314-3017 - Phone
- (515) 235-5000
- NPI assigned
- May 21, 2014
- Last updated
- Oct 31, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | H136852 | IA | Primary |
| Critical Care Medicine Nurse Practitioner | 363LC0200X | 209011352 | IL |
Addresses
Primary practice location
411 Laurel St
Suite A250
Des Moines, IA 50314-3017
Mailing address
5880 University Ave
West Des Moines, IA 50266-8209
Phone (515) 633-3835
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Rush Medical College of Rush University, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1825 Logan Ave
Waterloo, IA 50703-1916
Phone (319) 235-3886
350 N Grandview Ave
Dubuque, IA 52001-6388
Phone (563) 557-2829
4480 Utica Ridge Rd
Bettendorf, IA 52722-1644
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H136852 | IA | MD | Acute Care Nurse Practitioner |
| 209011352 | IL | MD | Critical Care Medicine Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Regional Medical Center | Current | Accepting new patients | |
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Current | Accepting new patients | |
| Catholic Health Initiatives-Iowa Corp | Current | Accepting new patients | |
| Catholic Health Initiatives-Iowa Corp | Current | Accepting new patients |
Locations
1816 Philadelphia St
Ames, IA 50010
Phone (515) 232-2500
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
411 Laurel St
Ste A250
Des Moines, IA 50314
Phone (515) 235-5000
802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565
5880 University Ave
West Des Moines, IA 50266
Phone (515) 633-3600
Interoperability endpoints
- canderson1186538@direct.unitypoint.org
Organizations & group practices 5
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.
-
dba UnityPoint Clinic
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
-
dba MercyOne Iowa Heart Center
- Clinical Cardiac Electrophysiology Physician
- West Des Moines, IA
- NPI 1629301684
-
dba UnityPoint Clinic
- Emergency Medicine Physician
- Fort Dodge, IA
- NPI 1073594156
-
dba MercyOne Des Moines Cancer and Infusion Care-Newton
- Hematology & Oncology Physician
- Newton, IA
- NPI 1841039856
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Allen Hospital
- General Acute Care Hospital
- Waterloo, IA
- NPI 1336231091
-
dba UnityPoint Health Trinity Regional Medical Center
- General Acute Care Hospital
- Fort Dodge, IA
- NPI 1487759858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414713600000",
"number": "1902218324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5880 UNIVERSITY AVE",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502668209",
"telephone_number": "515-633-3835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 LAUREL ST",
"address_2": "SUITE A250",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503143017",
"telephone_number": "515-235-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "CALEB",
"credential": "AGACNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-21",
"last_updated": "2014-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IA",
"license": "H136852",
"primary": true
},
{
"code": "363LC0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "IL",
"license": "209011352",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.