NPPES file of Aug 9, 2026

Maria Astra Felecia Fecundo, ARNP

Family Nurse Practitioner · Des Moines, IA

Maria Astra Felecia Fecundo, ARNP is a family nurse practitioner with a practice address in Des Moines, Iowa, and NPI 1457681835, issued on Jan 6, 2010. Check the license (Iowa H161918, as entered in NPPES) with the Iowa board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1457681835
Name
Maria Astra Felecia Fecundo
Credential
ARNP
Primary taxonomy
Family Nurse Practitioner 363LF0000X
License numbers
H161918 IA
041.360387 IL
Self-reported in NPPES; status is on the state search
Practice location
411 Laurel St Ste 2350, Des Moines, IA 50314
Phone
(515) 280-4700
Enumerated
Jan 6, 2010
Record last updated
Aug 12, 2021 (not updated in 5 years: call before relying on the address or phone)
Fax
(515) 280-4701
Medicare enrollment
Enrolled (PECOS I20210517000963); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 411 Laurel St Ste 2350

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Arsalan Alvi, MDNephrology Physician1972099570
  2. Johnna Danner-Terlouw, ARNPNurse Practitioner1235567652
  3. Jobinson Thomas, M.D.Nephrology Physician1871530055

Verify Maria Astra Felecia Fecundo in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Iowa board licenses this profession
    Search for license H161918
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Iowa license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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36% more Medicare Part D claims than the average family nurse practitioner in 2024

1,778 Medicare Part D claims for 233 beneficiaries, against an average of 1,305 among the 140,557 providers of this specialty who prescribed in Part D. Brand-name drugs were 14% of claims.

  1. Maria Astra Fecundo1,778
  2. Specialty average1,305

Most prescribed

  1. Sevelamer Carbonate184 claims
  2. Velphoro140 claims
  3. Amlodipine Besylate114 claims
  4. Calcium Acetate109 claims
  5. Carvedilol93 claims
  6. Lanthanum Carbonate92 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Industry payments in 2024: $712.26

32 payments; by number, the most common kind was food and beverage; the largest payer was Fresenius USA Marketing, Inc. The 99,489 providers of this specialty with any payment received $650.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Maria Astra Fecundo$712.26
  2. Specialty average$650.95

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Associates IN Kidney Care PLCDes Moines, IA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Maria Astra Felecia Fecundo among 1,971 family nurse practitioner records in Iowa

Maria Astra Felecia Fecundo, ARNP is one of 1,971 family nurse practitioner records with a practice address in Iowa. 84% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2010, is newer than 14% of them.

  • NPI issued2010 · 14% of these records are older, 84% newer
  • In a Medicare fileYes · 84% of these records are
  • In the CMS Doctors and Clinicians fileYes · 71% of these records are
  • Graduated2020 · median 2018 among the 1,398 with a school on file
  • Record last updated2021 · 43% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LF0000X and a Iowa practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

171 family nurse practitioner records list a practice address in Des Moines

They are 171 of the 5,538 NPPES records with a practice address in Des Moines, and 1,971 family nurse practitioner records in Iowa.

The 8 family nurse practitioner records with the nearest ZIP codes

  1. Tracy Dickel, ARNP FNPDes Moines, IA 503141780677161
  2. Leah Gabriel, NPDes Moines, IA 503141902108236
  3. Meghan Kinnetz, ARNPDes Moines, IA 503141578803235
  4. Deanna Lehl, N.P.Des Moines, IA 503141457409005
  5. Cynthia Peterson, NPDes Moines, IA 503141285607507
  6. Edmund Piasecki III, FNPDes Moines, IA 503141477534279
  7. Lori Reed, NP-CDes Moines, IA 503141063787703
  8. Dana Rich, NPDes Moines, IA 503141336424795

Common questions

What is Maria Astra Felecia Fecundo, ARNP's NPI number?

Maria Astra Felecia Fecundo, ARNP's National Provider Identifier (NPI) is 1457681835, issued on Jan 6, 2010. An NPI identifies a provider in billing; it is not a license.

Where is Maria Astra Felecia Fecundo, ARNP located?

The NPPES record lists a practice address at 411 Laurel St Ste 2350, Des Moines, IA, 50314. Phone: (515) 280-4700. Providers update this record themselves, so call before visiting.

How can I verify Maria Astra Felecia Fecundo, ARNP's license?

NPPES lists Iowa license number H161918, as entered by the provider. Search the Iowa board that licenses this profession; the NPPES record confirms identity only.

How much does Maria Astra Felecia Fecundo, ARNP prescribe under Medicare Part D?

In 2024, Maria Astra Felecia Fecundo, ARNP had 1,778 Medicare Part D claims for 233 beneficiaries; the average among family nurse practitioner prescribers was 1,305. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.