Individual provider Active NPI

Priya Sebastian Vadakkan, ARNP

  • Nurse Practitioner
  • Des Moines, IA
National Provider Identifier
1922877687
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
H177332 Issued in IA
Practice address
1215 Pleasant St Ste 414
Des Moines, IA 50309-1408
Phone
(515) 241-5700
NPI assigned
Dec 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X H177332 IA Primary

Addresses

Primary practice location

1215 Pleasant St Ste 414
Des Moines, IA 50309-1408

Mailing address

1215 Pleasant St Ste 414
Des Moines, IA 50309-1408
Phone (515) 241-5700

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
I20240207001751 IA Practitioner - Nurse Practitioner 8022451079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Iowa Hospital CorporationGroup PAC ID 1052229275, 233 clinicians

Practice addresses (Care Compare)

1200 Pleasant St
Des Moines, IA 50309-1406
Phone (515) 241-6435

1206 Pleasant St
Des Moines, IA 50309-1406
Phone (515) 241-6465

410 NW Ash Dr
Ankeny, IA 50023-1552
Phone (515) 964-1101

700 E Uinversity Ave
Des Moines, IA 50316-2302

Hospital & facility affiliations

  • Unitypoint Health - Des Moines Iowa Methodist Medi Hospital, Des Moines, IA, CCN 160082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Iowa Hospital Corporation CurrentSince Mar 25, 2024 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Central Iowa Hospital Corporation CurrentSince Mar 25, 2024 Accepting new patients

Locations

410 NW Ash Dr
Ankeny, IA 50023
Phone (515) 964-1101

1301 Pennsylvania Ave
Ste 100
Des Moines, IA 50316
Phone (515) 241-5700

1215 Pleasant St
Ste 414
Des Moines, IA 50309
Phone (515) 241-5700

Interoperability endpoints

  • Direct secure messaging: pvadakkan1061149@direct.unitypoint.org

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1703203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1922877687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 PLEASANT ST STE 414",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091408",
            "telephone_number": "515-241-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 PLEASANT ST STE 414",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091408",
            "telephone_number": "515-241-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADAKKAN",
        "first_name": "PRIYA",
        "middle_name": "SEBASTIAN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-22",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "H177332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.