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KALLIE DEKOCK ARNP
NPI 1285025353
Nurse Practitioner in Des Moines, IA

Active since February 11, 2015PECOS Enrolled
1111 6TH AVE, MAIN 3, DES MOINES, IA 50314(515) 247-3330(515) 643-2219 Get Directions Write a Review

NPPES record last updated: June 13, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kallie Dekock Arnp NPPES

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

KALLIE DEKOCK ARNP (NPI 1285025353) is an individual nurse practitioner in Des Moines, Iowa, licensed in Iowa (C138665) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Des Moines.

NPPES Registry Identity

NPI1285025353
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKALLIE DEKOCKCredential: ARNP
Location Address1111 6TH AVE, MAIN 3Des Moines, IA 50314
Mailing Address5406 Merle Hay RdJohnston, IA 50131-1209 · (515) 727-6617 · Fax (515) 727-8757
Phone(515) 247-3330
Fax(515) 643-2219
Sole ProprietorNo
Enumeration DateFebruary 11, 2015
Last NPPES UpdateJune 13, 2018
✔ NPI 1285025353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IA · C138665
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1111 6TH AVE, Des Moines, IA 50314
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Secondary Practice Location 1

Location 11111 6th Ave, Main 3Des Moines, IA 50314-2610 · Phone (515) 247-3330 · Fax (515) 643-2219

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kallie Dekock Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kallie Dekock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Des Moines River Physicians, LLC
Same address
Emergency Medicine
1111 6TH AVE
Des Moines, IA 50314
  • Reassigned Medicare billing, Iowa enrollment
  • 110 clinicians in this Medicare group
NPI 1720472442 (515) 358-8000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50314 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MERCY CLINICS, INC
Psychiatry & Neurology (Neurology)
1111 6TH AVE, EAST TOWER SUITE A100
DES MOINES, IA 50314
Polk County (515) 358-0011
TODD EBERLE DO
Family Medicine
1111 6TH AVE
DES MOINES, IA 50314
Polk County (515) 643-8678
JOSEPH JANSKY DO
Family Medicine
1111 6TH AVE
DES MOINES, IA 50314
Polk County (515) 612-9595
MYLES KAWAMURA DO
Emergency Medicine
1111 6TH AVE, EMERGENCY DEPARTMENT
DES MOINES, IA 50314
Polk County (515) 247-3211
DR. CODY BRUNCLIK DO
Internal Medicine
1111 6TH AVE
DES MOINES, IA 50314
Polk County (515) 643-2261
TYLER MUMM DO
Internal Medicine
1111 6TH AVE
DES MOINES, IA 50314
Polk County (515) 643-2261
DR. MITCHELL R. ERICKSON M.D.
Radiology (Neuroradiology)
1111 6TH AVE
DES MOINES, IA 50314
Polk County (515) 643-2667
DR. THERESA MARIE WAHLIG M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1111 6TH AVE
DES MOINES, IA 50314
Polk County (515) 643-8409

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 Kallie Dekock's NPI number?

The NPI number for Kallie Dekock is 1285025353. It was assigned to this individual provider in the NPPES registry on February 11, 2015.

Where is Kallie Dekock located?

Kallie Dekock practices at 1111 6th Ave Main 3, Des Moines, IA 50314. The listed phone number is (515) 247-3330.

What is Kallie Dekock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kallie Dekock enrolled in Medicare?

Yes. Kallie Dekock is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kallie Dekock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kallie Dekock reassigns Medicare benefits to Des Moines River Physicians, LLC (Des Moines, IA). The 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 Kallie Dekock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kallie Dekock accept?

Health plans from Wellmark Health Plan of Iowa, Inc. list Kallie Dekock 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 Kallie Dekock was last updated on June 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.