KEOTA FAMILY PRACTICE
NPI 1003628751
Nurse Practitioner - Family in Keota, IA

Active since January 21, 2025CLIA 16D2317248 · Waiver
302 E BROADWAY AVE, KEOTA, IA 52248(319) 383-7044(833) 740-3624 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keota Family Practice NPPES

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

KEOTA FAMILY PRACTICE (NPI 1003628751) is a healthcare organization registered as a family in Keota, Iowa and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through January 20, 2027 and lists Jackie K Morgan, Owner, as its authorized official.

NPPES Registry Identity

NPI1003628751
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameKEOTA FAMILY PRACTICE
Location Address302 E BROADWAY AVEKeota, IA 52248-9402
Mailing AddressPo Box 138Keota, IA 52248-0138 · (319) 383-7044 · Fax (833) 740-3624
Fax(833) 740-3624
Organization SubpartNo
Authorized OfficialJackie K MorganOwner · (319) 202-3843
Enumeration DateJanuary 21, 2025
Last NPPES UpdateOctober 24, 2025
NPPES CertifiedOctober 24, 2025
NPI 1003628751 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
302 E BROADWAY AVE, Keota, IA 52248

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

Accepted Insurance

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 Waiver 16D2317248

Keota Family Practice · Keota, IA
Active · expires Jan 20, 2027
CLIA Number16D2317248
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 21, 2025
Certificate Expiration DateJanuary 20, 2027
Laboratory DirectorJackie K. Morgan
Laboratory Phone(319) 202-3843
Laboratory LocationKeota Family Practice302 E Broadway Ave, Keota, IA 52248
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
302 E BROADWAY AVE, PO BOX 138
KEOTA, IA 52248

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 Keota Family Practice's NPI number?

The NPI number for Keota Family Practice is 1003628751. It was assigned to this organization in the NPPES registry on January 21, 2025.

Where is Keota Family Practice located?

Keota Family Practice is located at 302 E Broadway Ave, Keota, IA 52248. The listed phone number is (319) 383-7044.

What is Keota Family Practice's specialty?

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

Does Keota Family Practice hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2317248) is associated with this NPI, valid through January 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Keota Family Practice accept?

Health plans from Medica list Keota Family Practice as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keota Family Practice was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.