MEDITELECARE OF IOWA PLLC
NPI 1386146678
Psychologist in Des Moines, IA

Active since March 02, 2018
400 E COURT AVE STE 110, DES MOINES, IA 50309(860) 788-6404(860) 829-0495 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 5, 2025, May 6, 2024, Apr 3, 2020 and 3 more (6 updates tracked since 2018).

About Meditelecare Of Iowa Pllc NPPES

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

MEDITELECARE OF IOWA PLLC (NPI 1386146678) is a healthcare organization registered as a psychologist in Des Moines, Iowa and active in the NPI registry since March 2018. The organization lists Andrea Godfrey, Credentialing & Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1386146678
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameMEDITELECARE OF IOWA PLLC
Location Address400 E COURT AVE STE 110Des Moines, IA 50309-2027
Mailing AddressPo Box 1595Middletown, CT 06457-8095 · (860) 788-6404 · Fax (860) 829-0495
Fax(860) 829-0495
Organization SubpartNo
Authorized OfficialAndrea GodfreyCredentialing & Enrollment Manager · (860) 398-6441
Enumeration DateMarch 2, 2018
Last NPPES UpdateMay 5, 20256 updates tracked since enumeration
NPPES CertifiedMay 5, 2025
✔ NPI 1386146678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedNurse PractitionerTaxonomy 363L00000X
400 E COURT AVE STE 110, Des Moines, IA 50309

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Meditelecare Of Iowa Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Meditelecare Of Iowa PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner5
Clinical Psychologist4
Clinical Social Worker2
Psychiatry1

Clinicians, nearest first (12)

Nurse Practitioner
NPI 1902200645
400 E COURT AVE STE 110
Des Moines, IA 50309
(860) 788-6404
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1023517125
3737 WOODLAND AVE STE 410
West Des Moines, IA 50266
(515) 500-6082
✔ PECOS✔ Accepts Medicare7.4 mi
Clinical Social Worker
NPI 1417011313
107 E HARRISON ST
Brunswick, MO 65236
(573) 548-3033
✔ PECOS✔ Accepts Medicare152 mi
Clinical Social Worker
NPI 1093227613
405 RUSHING DR
Herrin, IL 62948
(618) 993-3300
✔ PECOS✔ Accepts Medicare360 mi
Clinical Psychologist
NPI 1457503534
1160 DUBLIN RD STE 400
Columbus, OH 43215
(860) 788-6404
✔ PECOS565 mi
Nurse Practitioner
NPI 1659889319
6980 WEEPING WILLOW DR
Colorado Springs, CO 80925
(573) 682-4970
✔ PECOS✔ Accepts Medicare616 mi
Clinical Psychologist
NPI 1821498312
1901 S 1ST ST
Temple, TX 76504
(254) 743-2424
✔ PECOS754 mi
Clinical Psychologist
NPI 1528238698
65 DUKE ST STE 106
Prince Frederick, MD 20678
(443) 295-8955
✔ PECOS925 mi
Clinical Psychologist
NPI 1790993962
209 N 35TH ST
Morehead City, NC 28557
(515) 802-2487
✔ PECOS1,030 mi
Nurse Practitioner
NPI 1730514381
265 FRANKLIN ST STE 1702
Boston, MA 02110
(240) 486-8941
✔ PECOS✔ Accepts Medicare1,160 mi
Nurse Practitioner
NPI 1336648625
45 MEMORIAL CIR
Augusta, ME 04330
(860) 788-6404
✔ PECOS✔ Accepts Medicare1,219 mi
Psychiatry
NPI 1134144215
9995 SE FEDERAL HWY UNIT 397
Hobe Sound, FL 33475
(772) 324-9514
✔ PECOS✔ Accepts Medicare1,259 mi

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

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 Meditelecare Of Iowa PLLC's NPI number?

The NPI number for Meditelecare Of Iowa PLLC is 1386146678. It was assigned to this organization in the NPPES registry on March 2, 2018.

Where is Meditelecare Of Iowa PLLC located?

Meditelecare Of Iowa PLLC is located at 400 E Court Ave Ste 110, Des Moines, IA 50309. The listed phone number is (860) 788-6404.

What is Meditelecare Of Iowa PLLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Meditelecare Of Iowa PLLC enrolled in Medicare?

Yes. Meditelecare Of Iowa PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Meditelecare Of Iowa PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 4 Medicare specialties reassign their Medicare billing to Meditelecare Of Iowa PLLC. 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 Nurse Practitioner (5), Clinical Psychologist (4) and Clinical Social Worker (2). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Meditelecare Of Iowa PLLC was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.