Healthcare Provider Details

I. General information

NPI: 1770460875
Provider Name (Legal Business Name): ACACIA MONSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2025
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8421 PLUM DR
URBANDALE IA
50322-7356
US

IV. Provider business mailing address

10110 HICKORY LN
URBANDALE IA
50322-6307
US

V. Phone/Fax

Practice location:
  • Phone: 515-270-7222
  • Fax:
Mailing address:
  • Phone: 515-943-3270
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number140974
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: