Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

EMILY ANN DERMODY ARNP
NPI 1790610590
Nurse Practitioner in Clive, IA

Q: What is Emily Dermody's NPI number?

The NPI number for Emily Dermody is 1790610590. It was assigned to this individual provider in the NPPES registry on June 15, 2026.

Q: What is Emily Dermody's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Emily Dermody was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 15, 2026PECOS Enrolled

1378 NW 124TH ST, CLIVE, IA 50325(515) 288-6097(515) 288-8335 Get Directions Write a Review

NPPES record added: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Emily Ann Dermody Arnp NPPES

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

EMILY ANN DERMODY ARNP (NPI 1790610590) is an individual nurse practitioner in Clive, Iowa, licensed in Iowa (A191868) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1790610590

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameEMILY ANN DERMODYCredential: ARNP

Location Address1378 NW 124TH STClive, IA 50325-8151

Mailing Address1378 Nw 124th StClive, IA 50325-8151 · (515) 288-6097 · Fax (515) 288-8335

Phone(515) 288-6097

Fax(515) 288-8335

Sole ProprietorNo

Medical School CMSOtherGraduated 2026

Enumeration DateJune 15, 2026

NPPES CertifiedJune 15, 2026

✔ NPI 1790610590 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 · A191868

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.

1378 NW 124TH ST, Clive, IA 50325

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Ann Dermody Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183188535

PECOS Enrollment IDI20260716000401

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50325 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 13

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

DR. AMOL AGARWAL MD

Internal Medicine (Gastroenterology)

1378 NW 124TH ST
CLIVE, IA 50325

Polk County (515) 288-6097

MARIA JOAN STEELE ARNP

Nurse Practitioner

1378 NW 124TH ST, SUITE 200
CLIVE, IA 50325

Polk County (515) 288-6097

DR. MICHAEL D OBRIEN MD

Internal Medicine (Gastroenterology)

1378 NW 124TH ST, SUITE 200
CLIVE, IA 50325

Polk County (515) 288-6097

TERCIO LOPES MD

Internal Medicine (Gastroenterology)

1378 NW 124TH ST
CLIVE, IA 50325

Polk County (515) 288-6097

LORI L MATHIS ARNP

Nurse Practitioner

1378 NW 124TH ST
CLIVE, IA 50325

Polk County (515) 288-6097

DR. THOMAS LYLE MARTIN DO

Internal Medicine (Gastroenterology)

1378 NW 124TH ST, SUITE 200
CLIVE, IA 50325

Polk County (515) 288-6097

IOWA ENDOSCOPY CENTER, INC.

Clinic/Center (Ambulatory Surgical)

1378 NW 124TH ST, SUITE 100
CLIVE, IA 50325

Polk County (515) 226-8180

DR. NAGENDRA V MYNENI MD

Internal Medicine (Gastroenterology)

1378 NW 124TH ST, SUITE 200
CLIVE, IA 50325

Polk County (515) 288-6097

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 Emily Dermody's NPI number?

The NPI number for Emily Dermody is 1790610590. It was assigned to this individual provider in the NPPES registry on June 15, 2026.

Where is Emily Dermody located?

Emily Dermody practices at 1378 NW 124th St, Clive, IA 50325. The listed phone number is (515) 288-6097.

What is Emily Dermody's specialty?

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

Is Emily Dermody enrolled in Medicare?

Yes. Emily Dermody is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Emily Dermody was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.