Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Staci Lynn Fosenburg, PHD

Individual provider Psychologist · NPI 1477073179

Staci Lynn Fosenburg, PHD is a Clinical Psychologist in Des Moines, Iowa. Graduated from University of Iowa, Rj & L Carver College of Medicine in 2018, 8 years ago. Practices with Primary Health Care Inc, a 71-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
8
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
IA
In the registry since
2017
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3509 E 29th St
Des Moines, IA 50317-4253
Phone: (515) 248-1600
Fax: (515) 248-1610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X (IA)

Record details

NPI number1477073179
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 23, 2017
Last updated in NPPESSeptember 11, 2025
Certification dateApril 17, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Primary Health Care Inc — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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