TRISTAN M BOSS (ARNP) – Acute Care Nurse Practitioner, NPI 1780468959
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,529 NURSE PRACTITIONER in IA
Provider Addresses for TRISTAN M BOSS (ARNP)
12495 University Ave Ste 200
Clive, IA 503258290
Phone: (515) 282-2921
Fax: (515) 283-1035
Type: Location
110 E Court Ave Ste 200
Des Moines, IA 503092044
Phone: (515) 282-2921
Fax: (515) 282-1035
Type: Location
700 E University Ave
Des Moines, IA 503162302
Phone: (515) 263-5612
Type: Location
2565 SE Encompass Dr Ste 100
Waukee, IA 502631299
Phone: (515) 282-1299
Fax: (515) 282-2095
Type: Location
1950 SW Magazine Rd
Ankeny, IA 500232977
Phone: (515) 282-2921
Fax: (515) 283-1035
Type: Location
200 HAWKINS DR
IOWA CITY, IA 522421009
Phone: (515) 282-2921
Fax: (515) 283-1035
Type: Mailing
411 LAUREL ST STE A300
DES MOINES, IA 503143030
Phone: (515) 282-2921
Fax: (515) 283-1035
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-10-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231023001269 | I | Nurse Practitioner | IA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 50325)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Infectious Disease, Internal Medicine | IA | |
| Emergency Medicine | IA | |
| - | IA | |
| - | IA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | IA | |
| - | IA | |
| Nurse Practitioner | IA | |
| - | IA | |
| - | IA | |
| Nurse Practitioner | IA |
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