PREMIER HEALTHCARE OF SHENANDOAH, P.C.
NPI 1003308149
Nurse Practitioner - Family in Shenandoah, IA

Q: What is Premier Healthcare Of Shenandoah, P.C.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since June 05, 2018

813 CHURCH ST, SHENANDOAH, IA 51601(712) 246-5954(712) 246-3269 Get Directions Write a Review

NPPES record last updated: August 23, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Premier Healthcare Of Shenandoah, P.c. NPPES

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

PREMIER HEALTHCARE OF SHENANDOAH, P.C. (NPI 1003308149) is a healthcare organization registered as a family in Shenandoah, Iowa and active in the NPI registry since June 2018. The organization lists Jeffrey P Mccoy, President/owner, as its authorized official.

NPPES Registry Identity

NPI1003308149

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NamePREMIER HEALTHCARE OF SHENANDOAH, P.C.

Location Address813 CHURCH STShenandoah, IA 51601-2301

Mailing Address813 Church StShenandoah, IA 51601-2301 · (712) 246-5954 · Fax (712) 246-3269

Phone(712) 246-5954

Fax(712) 246-3269

Organization SubpartNo

Authorized OfficialJeffrey P MccoyPresident/owner · (712) 246-5954

Enumeration DateJune 5, 2018

Last NPPES UpdateAugust 23, 2018

✔ NPI 1003308149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

813 CHURCH ST, Shenandoah, IA 51601

Open in Google Maps ↗

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)

Premier Healthcare Of Shenandoah, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Premier Healthcare Of Shenandoah, P.C., which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Jeffrey Mccoy, D.C.

Chiropractic

NPI 1508804485

813 CHURCH ST
Shenandoah, IA 51601

(712) 246-5954

✔ Accepts Medicare0.1 mi

Kristin Golden, ARNP

Nurse Practitioner

NPI 1386032761

710 CENTER ST
Tabor, IA 51653

(712) 629-2975

✔ PECOS✔ Accepts Medicare19 mi

Michael Kuderer, D.C.

Chiropractic

NPI 1578722047

111 MAIN ST N
Stewartville, MN 55976

(507) 533-8011

✔ Accepts Medicare260 mi

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

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 Premier Healthcare Of Shenandoah, P.C.'s NPI number?

The NPI number for Premier Healthcare Of Shenandoah, P.C. is 1003308149. It was assigned to this organization in the NPPES registry on June 5, 2018.

Where is Premier Healthcare Of Shenandoah, P.C. located?

Premier Healthcare Of Shenandoah, P.C. is located at 813 Church St, Shenandoah, IA 51601. The listed phone number is (712) 246-5954.

What is Premier Healthcare Of Shenandoah, P.C.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Premier Healthcare Of Shenandoah, P.C. enrolled in Medicare?

Yes. Premier Healthcare Of Shenandoah, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Healthcare Of Shenandoah, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Premier Healthcare Of Shenandoah, P.C., in Chiropractic and Nurse Practitioner. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Premier Healthcare Of Shenandoah, P.C. was last updated on August 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.