Provider Profile
Listed in the NPI registry as a nurse practitioner, Maria Astra F. Fecundo, ARNP practices in Des Moines, IA. Maria Astra is also listed as specializing in registered nurse and nurse practitioner — family. Medicare claims data shows Maria Astra provided 187 services to 123 patients. The services billed most often include dialysis services, 2-3 physician visits per month (20 years or older), dialysis services, 1 physician visit per month (20 years or older), and home dialysis services per month (20 years or older). NPI 1457681835 identifies this record in the national registry.
Factual summary compiled by Guide.md from public records; not written by this provider.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
411 LAUREL ST STE 2350
Des Moines, IA 50314
187 services · 123 patients · 4 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Dialysis services, 2-3 physician visits per month (20 years or older) | Treatment | 90961 |
67 | More than most peers in Nurse Practitioner |
| Dialysis services, 1 physician visit per month (20 years or older) | Treatment | 90962 |
56 | More than most peers in Nurse Practitioner |
| Home dialysis services per month (20 years or older) | Treatment | 90966 |
52 | More often than most peers in Nurse Practitioner |
| Dialysis services, 4 or more physician visits per month (20 years or older) | Treatment | 90960 |
12 | Less often than most peers in Nurse Practitioner |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Maria Astra F. Fecundo is a nurse practitioner in Des Moines, IA. That is the designation recorded for this NPI in the federal registry.
NPI registry
Maria Astra F. Fecundo is listed at 411 Laurel St Ste 2350, Des Moines, IA 50314. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (515) 280-4700. Contact the office directly to confirm availability and scheduling.
NPI registry
Maria Astra F. Fecundo's National Provider Identifier is 1457681835. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Maria Astra F. Fecundo attended Other, graduating in 2020. This comes from the CMS National Downloadable File.
CMS public data
Maria Astra F. Fecundo has 6 years experience. Calculated from a graduation year of 2020, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Maria Astra F. Fecundo provides treatments such as dialysis services, 2-3 physician visits per month and dialysis services, 1 physician visit per month. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Maria Astra F. Fecundo. If this is you, claiming it is free.
Guide.md
Guide.md listings do not constitute medical advice or an endorsement.