BROADLAWNS MEDICAL CENTER
NPI 1013197060
Pharmacy in Des Moines, IA

Active since November 07, 2007CLIA 16D0383666 · Accreditation
1801 HICKMAN ROAD, DES MOINES, IA 50314(515) 282-2200(515) 282-7856 Get Directions Write a Review

NPPES record last updated: November 11, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Broadlawns Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROADLAWNS MEDICAL CENTER (NPI 1013197060) is a healthcare organization registered as a pharmacy in Des Moines, Iowa and active in the NPI registry since November 2007. The organization holds an CLIA Accreditation certificate valid through February 8, 2027 and lists Jody J Jenner, President Ceo, as its authorized official.

NPPES Registry Identity

NPI1013197060
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameBROADLAWNS MEDICAL CENTER
Location Address1801 HICKMAN ROADDes Moines, IA 50314
Mailing Address1801 Hickman RoadDes Moines, IA 50314 · (515) 282-2200 · Fax (515) 282-7856
Fax(515) 282-7856
Organization SubpartYes
Authorized OfficialJody J JennerPresident Ceo · (515) 282-2410
Enumeration DateNovember 7, 2007
Last NPPES UpdateNovember 11, 2013
✔ NPI 1013197060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
1801 HICKMAN ROAD, Des Moines, IA 50314

Other Identifiers 3

Medicare UPIN00826
Medicare OSCAR/certification016101IA
Medicare PIN16101

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Broadlawns Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIowaEnrollment IDO20220202001124Non-DME Part B · PharmacyDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

518

Medicare enrollment records show 518 clinicians reassign Medicare billing to Broadlawns Medical Center, which bills Medicare for the services they deliver. Of these, 115 practice at this address and 334 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 47

Family Practice78
Nurse Practitioner78
Psychiatry39
Diagnostic Radiology38
Clinical Social Worker30
Emergency Medicine26
Internal Medicine26
Certified Registered Nurse Anesthetist (CRNA)24
39 other specialties179

Nearest to this location (20)

See all 518
Family Practice
NPI 1407479355
1801 HICKMAN RD
Des Moines, IA 50314
(515) 282-8551
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1295717619
1801 HICKMAN RD
Des Moines, IA 50314
(515) 282-2200
✔ PECOSSame address
Clinical Social Worker
NPI 1689128639
1801 HICKMAN RD
Des Moines, IA 50314
(515) 282-2200
✔ PECOSSame address
Mental Health Counselor
NPI 1528803293
1801 HICKMAN RD
Des Moines, IA 50314
(515) 282-8568
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1487919809
1801 HICKMAN RD
Des Moines, IA 50314
(515) 282-2200
Same address
Certified Nurse Midwife (CNM)
NPI 1215164165
1801 HICKMAN RD
Des Moines, IA 50314
(155) 282-2340
✔ PECOSSame address
Psychiatry
NPI 1053931147
1801 HICKMAN RD
Des Moines, IA 50314
(515) 282-2200
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1811500747
1801 HICKMAN RD
Des Moines, IA 50314
(515) 282-2200
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1851685911
1801 HICKMAN RD
Des Moines, IA 50314
(515) 282-8064
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1871588061
1801 HICKMAN RD BROADLAWNS MEDICAL CENTER
Des Moines, IA 50314
(515) 282-2319
✔ PECOSSame address
Podiatry
NPI 1659669760
1801 HICKMAN RD
Des Moines, IA 50314
(515) 282-2423
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1487461489
1801 HICKMAN RD
Des Moines, IA 50314
(515) 282-6956
Same address
Diagnostic Radiology
NPI 1497016273
1801 HICKMAN RD
Des Moines, IA 50314
(515) 282-2200
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1518918317
1801 HICKMAN RD
Des Moines, IA 50314
(515) 282-2200
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1083246136
1801 HICKMAN RD
Des Moines, IA 50314
(515) 282-2200
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1336762079
1801 HICKMAN RD
Des Moines, IA 50314
(515) 282-2296
✔ PECOSSame address
Occupational Therapist in Private Practice
NPI 1043065832
1801 HICKMAN RD
Des Moines, IA 50314
(515) 282-5621
Same address
Ophthalmology
NPI 1265726913
1801 HICKMAN RD
Des Moines, IA 50314
(515) 282-5773
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1174759740
1801 HICKMAN RD
Des Moines, IA 50314
(515) 282-2200
✔ PECOSSame address
Dentist
NPI 1811982077
1801 HICKMAN RD BROADLAWNS MEDICAL CENTER
Des Moines, IA 50314
(515) 282-2319
✔ PECOSSame address
See all 518 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 16D0383666

Broadlawns Medical Center · Des Moines, IA
Active · expires Feb 8, 2027
CLIA Number16D0383666
Laboratory TypeHospital
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorDr. Matthew W. Andres
Laboratory Phone(515) 282-2373
Laboratory LocationBroadlawns Medical Center1801 Hickman Road, Des Moines, IA 50314
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
20 services20 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
16 services16 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Broadlawns Medical Center's NPI number?

The NPI number for Broadlawns Medical Center is 1013197060. It was assigned to this organization in the NPPES registry on November 7, 2007.

Where is Broadlawns Medical Center located?

Broadlawns Medical Center is located at 1801 Hickman Road, Des Moines, IA 50314. The listed phone number is (515) 282-2200.

What is Broadlawns Medical Center's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Is Broadlawns Medical Center enrolled in Medicare?

Yes. Broadlawns Medical Center is registered in the Medicare PECOS enrollment system.

When is Broadlawns Medical Center's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Iowa, Pharmacy) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Broadlawns Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 518 clinicians in 47 Medicare specialties reassign their Medicare billing to Broadlawns Medical Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (78), Nurse Practitioner (78) and Psychiatry (39). Of these, 115 practice at this address and 334 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Broadlawns Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 16D0383666) is associated with this NPI, valid through February 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Broadlawns Medical Center accept?

Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, AvMed, Avera Health Plans and Blue Cross Blue Shield of North Dakota and 31 other insurers list Broadlawns Medical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Broadlawns Medical Center was last updated on November 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.