Individual provider Active NPI

Patrick Thompson

  • Family Nurse Practitioner
  • West Des Moines, IA
National Provider Identifier
1922772839
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A164210 Issued in IA
Practice address
5901 Westown Pkwy Ste 225
West Des Moines, IA 50266-8297
Phone
(515) 410-9400
Fax
(515) 410-9400
NPI assigned
Aug 4, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A164210 IA Primary

Addresses

Primary practice location

5901 Westown Pkwy Ste 225
West Des Moines, IA 50266-8297

Mailing address

5901 Westown Pkwy Ste 225
West Des Moines, IA 50266-8297
Phone (515) 410-9400

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
I20211103001453 IA Practitioner - Nurse Practitioner 4981092384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shinra PCGroup PAC ID 8426394230, 3 clinicians

Practice addresses (Care Compare)

5901 Westown Pkwy
Suite 250
West Des Moines, IA 50266-8273
Phone (316) 452-1653

710 N 12TH St
Guthrie Center, IA 50115-1544
Phone (515) 410-9400

800 E 1St St
Suite 2800
Ankeny, IA 50021-2077
Phone (515) 410-9400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shinra, P.C. CurrentSince Oct 1, 2021 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

801 E 1st St
Ste 2400
Ankeny, IA 50021

800 E 1st St
Ste 2800
Ankeny, IA 50021
Phone (515) 410-9400

609 SE Kent St
Greenfield, IA 50849
Phone (641) 743-2123

710 N 12th St
Guthrie Ctr, IA 50115
Phone (641) 332-2201

920 S Oak St
Iowa Falls, IA 50126
Phone (641) 648-4631

5901 Westown Pkwy
Ste 250
West Des Moines, IA 50266
Phone (316) 452-1653

5901 Westown Pkwy
Ste 225
West Des Moines, IA 50266
Phone (515) 410-9400

300 W Hutchings St
Winterset, IA 50273
Phone (515) 223-4368

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1922772839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 WESTOWN PKWY STE 225",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668297",
            "telephone_number": "515-410-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 WESTOWN PKWY STE 225",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668297",
            "telephone_number": "515-410-9400",
            "fax_number": "515-410-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "PATRICK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A164210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.