Provider Demographics
NPI:1790969715
Name:SCHEVE, CARISSA L (ARNP)
Entity Type:Individual
Prefix:
First Name:CARISSA
Middle Name:L
Last Name:SCHEVE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:CARISSA
Other - Middle Name:L
Other - Last Name:VERHEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1212 PLEASANT STREET
Mailing Address - Street 2:SUITE 300
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50309-1453
Mailing Address - Country:US
Mailing Address - Phone:515-241-6000
Mailing Address - Fax:515-241-8728
Practice Address - Street 1:1212 PLEASANT STREET
Practice Address - Street 2:SUITE 300
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-1453
Practice Address - Country:US
Practice Address - Phone:515-241-6000
Practice Address - Fax:515-241-8728
Is Sole Proprietor?:No
Enumeration Date:2007-12-27
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAC108446363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1790969715Medicaid
MO1790969715Medicaid
IA175150092OtherMEDICARE