STEPHANIE ANNE FARDAL
NPI 1952001505
Nurse Practitioner in Waukee, IA

Active since March 02, 2023PECOS EnrolledAccepts Medicare Assignment
1025 SE TALLGRASS LN STE 220, WAUKEE, IA 50263(515) 875-9290 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 13, 2024, Nov 15, 2023, Mar 2, 2023 (3 updates tracked since 2023).

About Stephanie Anne Fardal NPPES

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

STEPHANIE ANNE FARDAL (NPI 1952001505) is an individual nurse practitioner in Waukee, Iowa, licensed in Iowa (A173477) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1952001505
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSTEPHANIE ANNE FARDAL
Location Address1025 SE TALLGRASS LN STE 220Waukee, IA 50263-6817
Mailing AddressPo Box 424Des Moines, IA 50302-0424 · (515) 875-9255
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 2, 2023
Last NPPES UpdateOctober 15, 20243 updates tracked since enumeration
NPPES CertifiedOctober 15, 2024
NPI 1952001505 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 · A173477
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.

1025 SE TALLGRASS LN STE 220, Waukee, IA 50263

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Stephanie Anne Fardal 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 ID6901349653
PECOS Enrollment IDI20240621003014
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 50263 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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952001505, enumerated as an "individual" on March 02, 2023.

The provider is located at 1025 SE TALLGRASS LN STE 220 WAUKEE, IA 50263 and the phone number is (515) 875-9290.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.