Doctor profile · Federal record

Dr. Maria Astra Fecundo, ARNP

Family Nurse Practitioner (CMS: Nurse Practitioner) · Registered Nurse · Des Moines, IA

  • NPI 1457681835
  • Accepts Medicare
  • 6 yrs in practice
  • Licensed in 2 states
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
411 Laurel St Ste 2350
Des Moines, IA 503143026
(515) 280-4700
fax (515) 280-4701

Credentials & registration

NPPES · NUCC
NPI registered
January 2010 — 16 yrs on file
Profile last updated
August 12, 2021
Year of graduation
2020 — 6 yrs since
Specialty taxonomy
363LF0000X — NUCC code
State licenses (2)
Iowa #H161918 · Illinois #041.360387

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1457681835. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
144
Distinct HCPCS
4
Medicare allowed
$32,608
HCPCS Description Services Patients Avg allowed
90966 Home dialysis services per month (20 years or older) 53 32 $233
90961 Dialysis services, 2-3 physician visits per month (20 years or older) 47 30 $233
90962 Dialysis services, 1 physician visit per month (20 years or older) 25 19 $160
90960 Dialysis services, 4 or more physician visits per month (20 years or older) 19 15 $281

In context: peer comparison

Among 34 peers in Des Moines Family Nurse Practitioner, average services per provider: 143. This provider delivers 1.0× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$712
Transactions
32
Manufacturers
10
Payer (manufacturer) Industry Txns Amount
Fresenius USA Marketing, INC. 13 $266.46
AstraZeneca Pharmaceuticals Lp 7 $185.20
Boehringer Ingelheim Pharmaceuticals, INC. 4 $76.95
Takeda Pharmaceuticals U.S.A., INC. 1 $32.78
Amgen INC. 2 $32.20
CorMedix INC. 1 $30.79
Bayer Healthcare Pharmaceuticals INC. 1 $28.04
Baxter Healthcare 1 $25.92
Merck Sharp & Dohme LLC 1 $19.70
Alexion Pharmaceuticals, INC. 1 $14.22

By nature of payment

Food and Beverage
$712

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
683
Patients
223
Total drug cost
$401,781
Drug Type Claims Patients Total cost
Sevelamer Carbonate Generic 140 57 $61,649
Calcium Acetate Generic 77 21 $8,600
Velphoro (Sucroferric Oxyhydroxide) Brand 66 22 $234,333
Amlodipine Besylate Generic 65 22 $291
Lanthanum Carbonate Generic 48 23 $62,119
Furosemide Generic 37 19 $301
Losartan Potassium Generic 37 0 $336
Hydralazine Hcl Generic 36 13 $758
Bumetanide Generic 31 15 $3,636
Lisinopril Generic 28 18 $234

Frequently asked questions

Auto-generated from federal data
What is Dr. Maria Astra Fecundo's medical specialty?
Dr. Maria Astra Fecundo practices Family Nurse Practitioner in Des Moines, IA.
Where does Dr. Maria Astra Fecundo practice?
Dr. Maria Astra Fecundo practices at 411 Laurel St Ste 2350, Des Moines, IA 503143026. Office phone: 5152804700.
What is Dr. Maria Astra Fecundo's NPI?
Dr. Maria Astra Fecundo's National Provider Identifier (NPI) is 1457681835, issued by NPPES.
Does Dr. Maria Astra Fecundo accept Medicare assignment?
Yes. Dr. Maria Astra Fecundo accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Maria Astra Fecundo commonly perform?
Top Medicare-reported procedures in 2023: Home dialysis services per month (20 years or older) (HCPCS 90966); Dialysis services, 2-3 physician visits per month (20 years or older) (HCPCS 90961); Dialysis services, 1 physician visit per month (20 years or older) (HCPCS 90962). Source: CMS Medicare Physician & Other Practitioners file.