Primary Health Care-bery Engebretsen Clinic - Medicare Primary Care in Des Moines, IA

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Primary Health Care-bery Engebretsen Clinic is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Des Moines, Iowa. The current practice location for Primary Health Care-bery Engebretsen Clinic is 2353 Se 14th St, Des Moines, Iowa. For appointments, you can reach them via phone at (515) 248-1400. The mailing address for Primary Health Care-bery Engebretsen Clinic is 1200 University Ave, Suite 200, Des Moines, Iowa and phone number is (515) 248-1447.

Primary Health Care-bery Engebretsen Clinic is licensed to practice in Iowa (license number NA). The clinic also participates in the medicare program and its NPI number is 1588692487. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (515) 248-1400.

Contact Information

Primary Health Care-bery Engebretsen Clinic
2353 Se 14th St
Des Moines
IA 50320-1109
(515) 248-1400
(515) 248-1440

Map and Direction


Primary Care Clinic Profile

Full NamePrimary Health Care-bery Engebretsen Clinic
SpecialityClinic/Center
Location2353 Se 14th St, Des Moines, Iowa
Authorized Official Name and PositionKelly Hunstman (CHIEF EXECUTIVE OFFICER)
Authorized Official Contact5152481441
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Primary Health Care-bery Engebretsen Clinic
1200 University Ave
Suite 200
Des Moines
IA 50314-2355

Ph: (515) 248-1447		Primary Health Care-bery Engebretsen Clinic
2353 Se 14th St
Des Moines
IA 50320-1109

Ph: (515) 248-1400

NPI Details:

NPI Number1588692487
Provider Enumeration Date06/29/2006
Last Update Date12/27/2016

Medicare PECOS Information:

Medicare PECOS PAC ID8426966755
Medicare Enrollment IDO20031106000487

Medical Identifiers

Medical identifiers for Primary Health Care-bery Engebretsen Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588692487NPI-NPPES
0198614MedicaidIA
29368OtherIAWELLMARK BCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) NA (Iowa)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Primary Health Care-bery Engebretsen Clinic acts as a billing entity for following providers:
Provider NameCindy S Cruikshank
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104974849
PECOS PAC ID: 1557274594
Enrollment ID: I20031106000582
Provider NameChandramohan P Batra
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720034796
PECOS PAC ID: 7214841600
Enrollment ID: I20031119000149
Provider NameGregory C Mckernan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558341628
PECOS PAC ID: 8628973906
Enrollment ID: I20031201000143
Provider NameLeatrice A Olson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1447268198
PECOS PAC ID: 1456332410
Enrollment ID: I20040526000334
Provider NameLarry K Lindell
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1871588061
PECOS PAC ID: 8224010889
Enrollment ID: I20040607000501
Provider NameEden B Murad
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285712497
PECOS PAC ID: 7214903368
Enrollment ID: I20040909000479
Provider NameSiva Prasad Jagarlapudi
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1770533952
PECOS PAC ID: 7517940943
Enrollment ID: I20050615001093
Provider NameTimothy W Swinton
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1245388743
PECOS PAC ID: 4082641808
Enrollment ID: I20050725000184
Provider NameJason Richard Kessler
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1609853357
PECOS PAC ID: 8628066842
Enrollment ID: I20050816000446
Provider NameJennifer A Groos
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1598747321
PECOS PAC ID: 6901838499
Enrollment ID: I20050906000971
Provider NameHeidi R Shreck
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1881668135
PECOS PAC ID: 6406866003
Enrollment ID: I20060426000906
Provider NameLorene K Mein
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033222088
PECOS PAC ID: 7315957586
Enrollment ID: I20060502000876
Provider NameDean W Moews
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518917285
PECOS PAC ID: 4284544370
Enrollment ID: I20060808000551
Provider NameNancy A Thurtell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689603201
PECOS PAC ID: 2163412313
Enrollment ID: I20061019000040
Provider NameNicole S Kehoe
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1205883303
PECOS PAC ID: 3577668144
Enrollment ID: I20070411000029
Provider NameLouise M Convery
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1699728287
PECOS PAC ID: 8426155136
Enrollment ID: I20070516000042
Provider NameLazaro U Rabang
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1649387697
PECOS PAC ID: 3870674823
Enrollment ID: I20080115000753
Provider NameAlan Randal Bollinger
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295830115
PECOS PAC ID: 8426111048
Enrollment ID: I20090108000299
Provider NameDaniela Frankova
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1235376328
PECOS PAC ID: 3971659103
Enrollment ID: I20090914000224
Provider NamePaul K Mulhausen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1588647887
PECOS PAC ID: 4486796224
Enrollment ID: I20100116000363
Provider NameSharon L Bertroche
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508825233
PECOS PAC ID: 7113062803
Enrollment ID: I20100305000330
Provider NameSusan M Kennedy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720095276
PECOS PAC ID: 9739217266
Enrollment ID: I20100504000639
Provider NameShannon C Hood
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639188022
PECOS PAC ID: 2860520756
Enrollment ID: I20100513000883
Provider NameChristopher A White
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1982782108
PECOS PAC ID: 1153451497
Enrollment ID: I20100611000520
Provider NameMaureen M Tacke
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1841454659
PECOS PAC ID: 6507990736
Enrollment ID: I20100810000680
Provider NameJoel Alan Wells
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114902087
PECOS PAC ID: 4183513948
Enrollment ID: I20100825000398
Provider NameBery J Engebretsen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609924208
PECOS PAC ID: 3971411216
Enrollment ID: I20110113000336
Provider NameChangfu Peng
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1760778716
PECOS PAC ID: 7012187651
Enrollment ID: I20110908002180
Provider NameKristin R Bolinger
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619105186
PECOS PAC ID: 4082860564
Enrollment ID: I20120821000297
Provider NameCaroline A Boehnke
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1104171743
PECOS PAC ID: 1557516432
Enrollment ID: I20130226000137
Provider NameJean M Paul
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932102639
PECOS PAC ID: 7719996313
Enrollment ID: I20131213001695
Provider NameDiane E Clevenger
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1356315824
PECOS PAC ID: 2365422920
Enrollment ID: I20140421001457
Provider NameMaria A Guevara Hernandez
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1487931788
PECOS PAC ID: 8921224908
Enrollment ID: I20140728002278
Provider NameMegan S Sloat
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1346525714
PECOS PAC ID: 8123286945
Enrollment ID: I20140827001265
Provider NamePriscilla J Kalhorn
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1346687357
PECOS PAC ID: 3173754918
Enrollment ID: I20141222000422
Provider NameMarilyn L Harter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124401922
PECOS PAC ID: 8527364470
Enrollment ID: I20160303000046
Provider NameBecky L Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891146999
PECOS PAC ID: 1850687187
Enrollment ID: I20160912002671
Provider NameDuane S Abbott
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1417362666
PECOS PAC ID: 6709002033
Enrollment ID: I20160930000140
Provider NameAmanda Lizette Monroy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073068979
PECOS PAC ID: 9537457650
Enrollment ID: I20161005001597
Provider NameRenea L Kestel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811354483
PECOS PAC ID: 1254629728
Enrollment ID: I20161017000903
Provider NameDenni Jo Fitzsimmons
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457734600
PECOS PAC ID: 5799099552
Enrollment ID: I20170307001097
Provider NameElisabeth Studer Neighbors
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326388075
PECOS PAC ID: 9133405350
Enrollment ID: I20170424001046
Provider NameKevin T Hanigan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1972980902
PECOS PAC ID: 4587959341
Enrollment ID: I20180419001911
Provider NameMaria T Latoja Lovan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568968121
PECOS PAC ID: 3476630260
Enrollment ID: I20180709002275
Provider NameAlyssa Nicole Happe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922584127
PECOS PAC ID: 5991054108
Enrollment ID: I20180822000402
Provider NameKathleen Carol Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548750045
PECOS PAC ID: 9931455987
Enrollment ID: I20181011000821
Provider NameMary Ann Mercedes Be
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700361227
PECOS PAC ID: 4880948868
Enrollment ID: I20181109000837
Provider NameKathryn Elizabeth Crawford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750854410
PECOS PAC ID: 3375882277
Enrollment ID: I20190311001067
Provider NameChristina Lynn Aguilar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942768023
PECOS PAC ID: 7719228527
Enrollment ID: I20190404000714
Provider NameAngela J De Hamer
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1982043014
PECOS PAC ID: 0547553935
Enrollment ID: I20190827001957
Provider NameStephanie A Ezebuiro
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013437797
PECOS PAC ID: 4385913318
Enrollment ID: I20191114002778
Provider NameErin N Hernandez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326515297
PECOS PAC ID: 3476979436
Enrollment ID: I20200820002672
Provider NameLauren Kay Mancieri
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598345415
PECOS PAC ID: 0042619090
Enrollment ID: I20210525002210
Provider NameDustin J Uhlenhopp
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1871085019
PECOS PAC ID: 0547515629
Enrollment ID: I20210712001151
Provider NameSarah M. Schoen
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1154990521
PECOS PAC ID: 5294138822
Enrollment ID: I20210720003110
Provider NameBen A Schwab
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134743289
PECOS PAC ID: 3779908116
Enrollment ID: I20210813001105
Provider NameShana Lynn Martinez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720618788
PECOS PAC ID: 1658799697
Enrollment ID: I20220329001554
Provider NameCynthia James
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801439229
PECOS PAC ID: 5496184681
Enrollment ID: I20220411001622
Provider NameKatie Elizabeth Wynn
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1235881046
PECOS PAC ID: 9335526599
Enrollment ID: I20220510001164
Provider NameStaci Lynn Fosenburg
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1477073179
PECOS PAC ID: 2961889852
Enrollment ID: I20220603001031
Provider NameJulianne M Bruce
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1932631835
PECOS PAC ID: 8123434065
Enrollment ID: I20220607003018
Provider NameMary Elizabeth Winters
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1841603909
PECOS PAC ID: 0749523900
Enrollment ID: I20220613001820
Provider NameTrivian Nguyen
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1801459128
PECOS PAC ID: 1355683822
Enrollment ID: I20220713000897
Provider NameKorie Jordan Eischeid
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427766559
PECOS PAC ID: 1557730975
Enrollment ID: I20221207000883
Provider NameLaura Scarlett Romano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184333700
PECOS PAC ID: 3072984277
Enrollment ID: I20230126001862
Provider NameAditi Derashri
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518525021
PECOS PAC ID: 2961735634
Enrollment ID: I20230418001000
Provider NameCaroline Bachelder Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336619279
PECOS PAC ID: 6901261536
Enrollment ID: I20230503001422
Provider NameChristopher A Stancic
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1184248189
PECOS PAC ID: 3375964760
Enrollment ID: I20230912003979
Provider NameDaryl James Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700573227
PECOS PAC ID: 4880049576
Enrollment ID: I20231016002722
Provider NameKathleen Susan Mccadam
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1043744675
PECOS PAC ID: 0547530404
Enrollment ID: I20231218001276
Provider NameAmy Elizabeth Epstein
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1457126997
PECOS PAC ID: 9830549559
Enrollment ID: I20231221000775
Provider NameKatherine Marie Lee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518642529
PECOS PAC ID: 9436509098
Enrollment ID: I20231221002727
Provider NameLashelle Jean Goode
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992573786
PECOS PAC ID: 8426408493
Enrollment ID: I20240103002520
Provider NameTimothy William Payton
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1659636462
PECOS PAC ID: 7012351794
Enrollment ID: I20240221002253
Provider NameClayton Thomas Smith
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114282175
PECOS PAC ID: 5799094512
Enrollment ID: I20240304001037
Provider NameKathleen Anne Warren
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1417199878
PECOS PAC ID: 8729423462
Enrollment ID: I20240304002157
Provider NameSarah Sweeney Gude
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1043651680
PECOS PAC ID: 8820397748
Enrollment ID: I20240313001168
Provider NameDavid Roy Drustrup
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1891158432
PECOS PAC ID: 4587002753
Enrollment ID: I20240406000479
Provider NameAmanda Mary Fry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063277671
PECOS PAC ID: 7810335791
Enrollment ID: I20240411000751
Provider NameFrank Alexander Jensen
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1639410780
PECOS PAC ID: 5698113587
Enrollment ID: I20240411000965
Provider NameCindy Villa Huerta
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1508435231
PECOS PAC ID: 8224477047
Enrollment ID: I20240412002557
Provider NameAnneke Britt Gustafson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1750532578
PECOS PAC ID: 8123468725
Enrollment ID: I20240430001825

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.