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LUCAS COUNTY HEALTH CENTER SURGICAL GROUP
NPI 1003210824
Surgery in Chariton, IA

Active since October 22, 2014CLIA 16D0665215 · Certificate of Compliance
1200 N 7TH ST, CHARITON, IA 50049(641) 774-3000 Get Directions Write a Review

NPPES record last updated: November 2, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lucas County Health Center Surgical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUCAS COUNTY HEALTH CENTER SURGICAL GROUP (NPI 1003210824) is a healthcare organization registered as a surgery in Chariton, Iowa and active in the NPI registry since October 2014. The organization holds a CLIA Certificate of Compliance certificate valid through October 26, 2027 and lists Brian S Sims, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003210824
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameLUCAS COUNTY HEATLH CENTER
Location Address1200 N 7TH STChariton, IA 50049-1210
Mailing Address1200 N 7th StChariton, IA 50049-1210 · (641) 774-3000
Phone(641) 774-3000
Organization SubpartNo
Authorized OfficialBrian S SimsCeo · (641) 774-3000
Enumeration DateOctober 22, 2014
Last NPPES UpdateNovember 2, 2015
✔ NPI 1003210824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1200 N 7TH ST, Chariton, IA 50049
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Other Names 1

Doing Business AsLucas County Health Center Surgical Group

Other Identifiers 1

OtherI6951IA · Medicare Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lucas County Health Center Surgical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

36

Medicare enrollment records show 36 clinicians reassign Medicare billing to Lucas County Health Center Surgical Group, which bills Medicare for the services they deliver. Of these, 9 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 14

Nurse Practitioner16
Family Practice5
Certified Registered Nurse Anesthetist (CRNA)2
Emergency Medicine2
General Surgery2
Cardiovascular Disease (Cardiology)1
Certified Nurse Midwife (CNM)1
General Practice1
6 other specialties6

Nearest to this location (20)

See all 36
Kenneth Anderson, D.O.
Geriatric Medicine
NPI 1275513756
1200 N 7TH ST
Chariton, IA 50049
(641) 774-8103
✔ PECOS✔ Accepts Medicare0.1 mi
Greg Cohen, D.O.
Family Practice
NPI 1235119736
1200 N 7TH ST
Chariton, IA 50049
(641) 774-8103
✔ PECOS✔ Accepts Medicare0.1 mi
Michelle Fischer-Short, ARNP, FNP-BC
Nurse Practitioner
NPI 1477115319
1200 N 7TH ST
Chariton, IA 50049
(641) 774-3000
✔ PECOS✔ Accepts Medicare0.1 mi
Miranda Gebhart, NP-C
Nurse Practitioner
NPI 1205498342
1200 N 7TH ST
Chariton, IA 50049
(641) 774-8103
✔ PECOS✔ Accepts Medicare0.1 mi
Abigail Hamilton, ARNP
Nurse Practitioner
NPI 1467938977
1200 N 7TH ST
Chariton, IA 50049
(641) 774-8103
✔ PECOS✔ Accepts Medicare0.1 mi
Peter Hoftiezer, D.O.
Family Practice
NPI 1497062558
1200 N 7TH ST
Chariton, IA 50049
(641) 774-8103
✔ PECOS✔ Accepts Medicare0.1 mi
Kayla Wallace, NP-C, ARNP
Nurse Practitioner
NPI 1891184388
1200 N 7TH ST
Chariton, IA 50049
(641) 774-8103
✔ PECOS✔ Accepts Medicare0.1 mi
Philip Sundquist, M.D.
Family Practice
NPI 1053520403
1030 N 7TH ST
Chariton, IA 50049
(641) 217-9115
✔ PECOS✔ Accepts Medicare0.1 mi
Cameron Storm, FNP-C
Nurse Practitioner
NPI 1205698040
714 N 12TH ST
Chariton, IA 50049
(515) 423-9353
✔ PECOS✔ Accepts Medicare0.7 mi
Michael Gorski, D.O.
Emergency Medicine
NPI 1699747444
101 E MAIN ST
Saint Charles, IA 50240
(641) 396-2255
✔ PECOS30 mi
Jill Konfrst, ARNP
Nurse Practitioner
NPI 1801893250
412 E OSKALOOSA ST
Pella, IA 50219
(641) 780-0743
✔ PECOS33 mi
Dale Lensing, M.D.
Obstetrics/Gynecology
NPI 1477557411
405 MONROE ST
Pella, IA 50219
(641) 620-2144
✔ PECOS✔ Accepts Medicare34 mi
Meagan Etchemendy, DO
Family Practice
NPI 1609569789
840 E UNIVERSITY AVE
Des Moines, IA 50316
(515) 265-4255
✔ PECOS43 mi
Sharon Squibb, CNM
Certified Nurse Midwife (CNM)
NPI 1467524306
330 LAUREL ST STE 2300
Des Moines, IA 50314
(515) 643-6869
✔ PECOS✔ Accepts Medicare43 mi
Thomas Klein, D.O.
Pain Management
NPI 1912070764
450 LAUREL ST STE A
Des Moines, IA 50314
(515) 247-8400
✔ PECOS✔ Accepts Medicare43 mi
Giselle Mery, M.D.
Medical Oncology
NPI 1295747624
411 LAUREL ST STE A300
Des Moines, IA 50314
(515) 282-2921
✔ PECOS✔ Accepts Medicare43 mi
Zachary Johnson, MD
General Practice
NPI 1427624030
1111 6TH AVE
Des Moines, IA 50314
(515) 643-2682
✔ PECOS✔ Accepts Medicare43 mi
Paul Conte, M.D.
General Surgery
NPI 1669418166
5901 WESTOWN PKWY STE 110
West Des Moines, IA 50266
(515) 225-7001
✔ PECOS✔ Accepts Medicare47 mi
Hallie Runyan, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1083091482
1225 JORDAN CREEK PKWY STE 180
West Des Moines, IA 50266
(515) 537-5521
✔ PECOS47 mi
Lucas Groben, DO
Cardiovascular Disease (Cardiology)
NPI 1932310018
5950 UNIVERSITY AVE STE 231
West Des Moines, IA 50266
(515) 875-9090
✔ PECOS✔ Accepts Medicare47 mi
See all 36 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 16D0665215

Lucas County Health Center · Chariton, IA
Active · expires Oct 26, 2027
CLIA Number16D0665215
Laboratory TypeHospital
Certificate Effective DateOctober 27, 2025
Certificate Expiration DateOctober 26, 2027
Laboratory DirectorJenna M. Mccracken
Laboratory Phone(641) 774-3858
Laboratory LocationLucas County Health Center1200 North Seventh Street, Chariton, IA 50049
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lucas County Heatlh Center's NPI number?

The NPI number for Lucas County Heatlh Center is 1003210824. It was assigned to this organization in the NPPES registry on October 22, 2014. The provider is doing business as Lucas County Health Center Surgical Group.

Where is Lucas County Heatlh Center located?

Lucas County Heatlh Center is located at 1200 N 7th St, Chariton, IA 50049. The listed phone number is (641) 774-3000.

What is Lucas County Heatlh Center's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Lucas County Heatlh Center enrolled in Medicare?

Yes. Lucas County Heatlh Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lucas County Heatlh Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 36 clinicians in 14 Medicare specialties reassign their Medicare billing to Lucas County Heatlh Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (16), Family Practice (5) and Certified Registered Nurse Anesthetist (CRNA) (2). Of these, 9 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Lucas County Heatlh Center hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 16D0665215) is associated with this NPI, valid through October 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lucas County Heatlh Center was last updated on November 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.