Staci Lynn Fosenburg, PH.D.
NPI 1477073179ActiveIndividual· Psychologist· Des Moines, IA
Psychologist (PH.D.) in Des Moines, Iowa, trained at University of Iowa, Rj & L Carver College of Medicine (class of 2018). Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1477073179 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | No |
| NPI issued | Jun 23, 2017 |
| Last updated in NPPES | Sep 11, 2025 |
| Certified by provider | Apr 17, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (IA) |
|---|
Education and affiliations
| Medical school | University of Iowa, Rj & L Carver College of Medicine |
|---|---|
| Graduation year | 2018 |
| Medicare specialty | Clinical Psychologist |
Medical group
- Primary Health Care IncDes Moines, IA · 71 clinicians
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