Individual provider Active NPI

Staci Lynn Schweder, ARNP

  • Family Nurse Practitioner
  • Des Moines, IA
National Provider Identifier
1932437548
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
100272 Issued in IA
Practice address
215 Euclid Ave
Des Moines, IA 50313-4403
Phone
(515) 666-8670
NPI assigned
Nov 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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 100272 IA Primary

Addresses

Primary practice location

215 Euclid Ave
Des Moines, IA 50313-4403

Mailing address

PO Box 746870
Atlanta, GA 30374-6870
Phone (469) 727-6675

Other practice location 1

3520 Singing Hills Blvd
Sioux City, IA 51106-5110
Phone (712) 294-7400

Other practice location 2

4841 SE 14th St
Des Moines, IA 50320-1616
Phone (515) 415-4081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, SD, NE3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20100224000747 IA Practitioner - Nurse Practitioner 3870637143 Reassigns benefits to 2 organizations
I20190123002544 SD Practitioner - Nurse Practitioner 3870637143 Reassigns benefits to 3 organizations
I20220131002574 NE Practitioner - Nurse Practitioner 3870637143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oak Street Health Physicians Group of Iowa LLCGroup PAC ID 7113373168, 11 clinicians

Practice addresses (Care Compare)

4841 SE 14TH St
Des Moines, IA 50320-1616
Phone (515) 415-4081

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
100272IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Siouxland Anesthesiology & Pain Prof LLC CurrentSince Jan 1, 2022 Accepting new patients
Oak Street Health Physicians Group of Iowa LLC CurrentSince Nov 13, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince May 30, 2023 Accepting new patients
Affordable Medical Care LLC Past Accepting new patients

Locations

2217 Rockingham Rd
Davenport, IA 52802
Phone (563) 900-8465

4841 SE 14th St
Des Moines, IA 50320
Phone (515) 287-2115

400 E Court Ave
Ste 110
Des Moines, IA 50309

215 Euclid Ave
Des Moines, IA 50313
Phone (515) 282-8454

400 10th St E
Waconia, MN 55387

201 E 4th St
South Sioux City, NE 68776
Phone (402) 412-2160

317 Dakota Dunes Blvd
Ste G
Dakota Dunes, SD 57049
Phone (712) 251-6445

319 Coteau St
Pierre, SD 57501
Phone (605) 220-1093

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1932437548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746870",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746870",
            "telephone_number": "469-727-6675",
            "fax_number": "312-929-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 EUCLID AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503134403",
            "telephone_number": "515-666-8670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3520 Singing Hills Blvd",
            "address_purpose": "LOCATION",
            "city": "Sioux City",
            "state": "IA",
            "postal_code": "511065110",
            "country_code": "US",
            "telephone_number": "712-294-7400",
            "fax_number": "712-294-7436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4841 SE 14th St",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503201616",
            "country_code": "US",
            "telephone_number": "515-415-4081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWEDER",
        "first_name": "STACI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-20",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "100272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.