Healthcare Provider Details

I. General information

NPI: 1730026683
Provider Name (Legal Business Name): AYERSMAN BEHAVIORAL WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5713 NE DAWSON LN
ANKENY IA
50021-1220
US

IV. Provider business mailing address

5713 NE DAWSON LN
ANKENY IA
50021-1220
US

V. Phone/Fax

Practice location:
  • Phone: 515-385-2689
  • Fax: 515-220-8569
Mailing address:
  • Phone: 515-385-2689
  • Fax: 515-220-8569

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: BRIAN AYERSMAN
Title or Position: OWNER
Credential: ARNP, PMHNP
Phone: 515-385-2689