TRACY ANN DICKEL ARNP FNP NPI 1780677161

NPI Information

NPI: 1780677161
Provider Name: TRACY ANN DICKEL, ARNP FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: BROADLAWNS MEDICAL CENTER

PECOS Registration: Yes

Address:
1801 HICKMAN RD
DES MOINES, IA
ZIP 50314
Phone: (515) 282-2200
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Tracy Ann Dickel, ARNP FNP is a family nurse practitioner in Des Moines, IA with 27 years of experience. Tracy Ann Dickel, ARNP FNP NPI is 1780677161. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1801 HICKMAN RD
DES MOINES, IA
ZIP 50314-505
Phone: (515) 282-2200
Fax: (515) 282-2231

The NPI 1780677161 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/31/2005 and was last updated on 1/21/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		062100	IOWA	No
2	363LF0000X	Nurse Practitioner	Family	A062100	IOWA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	48413	OTHER	IOWA	WELLMARK BCBS
2	42068106098	OTHER	IOWA	JOHN DEERE HEALTH
3	UNK	OTHER	IOWA	IOWA HEALTH SOLUTIONS
4	B003	OTHER	IOWA	TRIWEST
5	I6424	MEDICARE ID-TYPE UNSPECIFIED	IOWA
6	P00112921	OTHER	IOWA	RAILROAD MEDICARE
7	S46153	MEDICARE UPIN
8	0219733	MEDICAID	IOWA
9	I0042	MEDICARE PIN	IOWA
10	1219733	MEDICAID	IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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