| Ms Kimberly Denise Souza, FNP | |
|
400 E Court Ave Ste 110, Des Moines, IA 50309-2027 | |
| (860) 788-6404 | |
| Not Available |
| Full Name | Ms Kimberly Denise Souza |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 400 E Court Ave Ste 110, Des Moines, Iowa |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902200645 | NPI | - | NPPES |
| 12803160 | Other | CAQH | |
| MA3251006 | Other | MO | MEDICARE PROVIDER TRANSACTION ACCESS NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2014035648 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aase Haugen Home | Decorah, IA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Meditelecare Of Iowa Pllc | 0446512503 | 5 |
| Meditelecare Of Virginia Llc | 2163785973 | 3 |
| Meditelecare Of Kansas Llc | 5294097549 | 4 |
| Entity Name | Meditelecare Of Iowa Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386146678 PECOS PAC ID: 0446512503 Enrollment ID: O20180329001998 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kimberly Denise Souza, FNP Po Box 1595, Middletown, CT 06457-8095 Ph: () - | Ms Kimberly Denise Souza, FNP 400 E Court Ave Ste 110, Des Moines, IA 50309-2027 Ph: (860) 788-6404 |
Rachael M. Doty, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 411 Laurel St Ste A120, Des Moines, IA 50314 Phone: 515-643-7900 Fax: 515-643-7901 | |
Rebecca Rae Johansen, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1215 Pleasant St Ste 308, Des Moines, IA 50309 Phone: 515-241-4325 | |
Melissa Batt, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 411 Laurel St Ste 3262, Des Moines, IA 50314 Phone: 515-643-5100 Fax: 515-643-5150 | |
Jamie Lynn Piotrowski, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 Pleasant St, Des Moines, IA 50309 Phone: 515-524-1621 | |
Ms. Jennifer June Milby, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4020 Merle Hay Rd, Des Moines, IA 50310 Phone: 515-278-0949 | |
Maksim Blidchenko, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 411 Laurel St Ste A250, Des Moines, IA 50314 Phone: 515-235-5000 Fax: 515-288-6713 | |
Tabetha Tara Schroder, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3600 30th St, Des Moines, IA 50310 Phone: 515-669-7108 |