Maria Astra Fecundo, ARNP
NPI 1457681835 · Family Nurse Practitioner · Des Moines, IA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Maria Astra Fecundo, ARNP is a Family Nurse Practitioner provider in Des Moines, IA (NPI 1457681835).
Provider details
- NPI number
- 1457681835
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ARNP
- Sex
- Female
- Sole proprietor
- No
- License
- 041.360387 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
16 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
187 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Dialysis Services, 2-3 Physician Visits Per Month (20 Years Or Older)90961 | 67 | $230 |
| Dialysis Services, 1 Physician Visit Per Month (20 Years Or Older)90962 | 56 | $159 |
| Home Dialysis Services Per Month (20 Years Or Older)90966 | 52 | $229 |
| Dialysis Services, 4 Or More Physician Visits Per Month (20 Years Or Older)90960 | 12 | $277 |
Typical Medicare-allowed amounts for these services range $159–$277 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 34 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Sevelamer Carbonate | 184 | 60 |
| Sucroferric Oxyhydroxidebrand: Velphoro | 140 | 39 |
| Amlodipine Besylate | 114 | 27 |
| Calcium Acetate | 109 | 35 |
| Carvedilol | 93 | 30 |
| Lanthanum Carbonate | 92 | 28 |
| Furosemide | 91 | 33 |
| Lisinopril |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$712 across 32 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-01-06
- Last updated
- 2021-08-12
- Certified
- 2021-08-12
Frequently asked questions
- What is Maria Astra Fecundo's NPI number?
- Maria Astra Fecundo's National Provider Identifier (NPI) is 1457681835, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Maria Astra Fecundo's specialty?
- Maria Astra Fecundo is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Maria Astra Fecundo located?
- Maria Astra Fecundo's practice location on file with NPPES is 411 Laurel St Ste 2350, Des Moines, IA 50314-3026.
- What is Maria Astra Fecundo's phone number?
- The practice phone number listed in the NPPES registry for Maria Astra Fecundo is (515) 280-4700.
- Does Maria Astra Fecundo accept Medicare?
- Maria Astra Fecundo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Maria Astra Fecundo's NPI active?
- Yes — Maria Astra Fecundo's NPI (1457681835) is active in the NPPES registry as of the last update on 2021-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.