DANIELLE RAE BOUTSALIS FNP-C, ARNP
NPI 1285308395
Nurse Practitioner - Family in Des Moines, IA

Q: What is Danielle Boutsalis's NPI number?

The NPI number for Danielle Boutsalis is 1285308395. It was assigned to this individual provider in the NPPES registry on August 3, 2021. The provider is also known as Danielle Rae Thomas Fnp-C, Arnp.

Q: What is Danielle Boutsalis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since August 03, 2021PECOS EnrolledAccepts Medicare Assignment

411 LAUREL ST STE A250, DES MOINES, IA 50314(515) 235-5000(515) 288-6713 Get Directions Write a Review

NPPES record last updated: April 2, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 2, 2023, Jan 25, 2022, Aug 3, 2021 (3 updates tracked since 2021).

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About Danielle Rae Boutsalis Fnp-c, Arnp NPPES

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

DANIELLE RAE BOUTSALIS FNP-C, ARNP (NPI 1285308395) is an individual family provider in Des Moines, Iowa, licensed in Iowa (A163581) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Mercyone Des Moines Medical Center, and maintains a secondary practice location in Altoona.

NPPES Registry Identity

NPI1285308395

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDANIELLE RAE BOUTSALISCredential: FNP-C, ARNP

Location Address411 LAUREL ST STE A250Des Moines, IA 50314-3029

Mailing AddressPo Box 9170Des Moines, IA 50306-9170 · (515) 633-3600 · Fax (515) 633-3838

Phone(515) 235-5000

Fax(515) 288-6713

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateAugust 3, 2021

Last NPPES UpdateApril 2, 20233 updates tracked since enumeration

NPPES CertifiedApril 2, 2023

✔ NPI 1285308395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IA · A163581

411 LAUREL ST STE A250, Des Moines, IA 50314

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Other Names 1

Former Name (1)Danielle Rae Thomas Fnp-c, Arnp

Secondary Practice Location 1

Location 1508 3rd St NWAltoona, IA 50009-1466 · Phone (515) 238-0998

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Danielle Rae Boutsalis Fnp-c, Arnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345631016

PECOS Enrollment IDI20220107000453

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 Danielle Boutsalis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Catholic Health Initiatives Iowa Corp

0.1 mi

Medical Specialty

1111 6TH AVE, WEST 1
Des Moines, IA 50314

Reassigned Medicare billing, Iowa enrollment
133 clinicians in this Medicare group

NPI 1417094541 (515) 643-0850

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercyone Des Moines Medical Center

Acute Care Hospitals · Des Moines, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160083

Location1111 6th AveDes Moines, IA 50314 · Polk County

Emergency services Birthing friendly

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.

MAKSIM BLIDCHENKO ARNP

Nurse Practitioner