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NEVADA MEDICAL CLINIC
NPI 1023080504
Family Medicine in Nevada, IA

Active since February 07, 2006
640 S 19TH ST, NEVADA, IA 50201(515) 382-5413(515) 382-7107 Get Directions Write a Review

NPPES record last updated: February 10, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 10, 2017, Feb 1, 2017 (2 updates tracked since 2017).

About Nevada Medical Clinic NPPES

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

NEVADA MEDICAL CLINIC (NPI 1023080504) is a healthcare organization registered as a family medicine in Nevada, Iowa and active in the NPI registry since February 2006. The organization lists Kemberlee S Packer, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1023080504
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSTORY COUNTY HOSPITAL
Location Address640 S 19TH STNevada, IA 50201-2902
Mailing Address640 S 19th StNevada, IA 50201-2902 · (515) 382-5413 · Fax (515) 382-7107
Phone(515) 382-5413
Fax(515) 382-7107
Organization SubpartNo
Authorized OfficialKemberlee S PackerCredentialing Specialist · (515) 382-7101
Enumeration DateFebruary 7, 2006
Last NPPES UpdateFebruary 10, 20172 updates tracked since enumeration
✔ NPI 1023080504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
640 S 19TH ST, Nevada, IA 50201
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Other Names 1

Doing Business AsNevada Medical Clinic

Other Identifiers 3

Other48680IA · Wellmark Bcbs
Medicare ID-Type Unspecified05739IA
Medicaid0251553IA

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)

Nevada Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

30

Medicare enrollment records show 30 clinicians reassign Medicare billing to Nevada Medical Clinic, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Nurse Practitioner14
Family Practice5
Cardiovascular Disease (Cardiology)3
Certified Registered Nurse Anesthetist (CRNA)3
General Surgery2
Podiatry2
Internal Medicine1

Nearest to this location (20)

See all 30
Kennedy Laville Thoren, DNP, ARNP, PMHNP-BC
Nurse Practitioner
NPI 1144873282
640 S 19TH ST
Nevada, IA 50201
(515) 382-5413
✔ PECOS✔ Accepts MedicareSame address
Damiun Bassandeh, CRNA
Nurse Practitioner
NPI 1417251232
640 S 19TH ST
Nevada, IA 50201
(515) 382-2111
✔ PECOS✔ Accepts MedicareSame address
Arthur Check, DO
Family Practice
NPI 1760455323
640 S 19TH ST STE 100
Nevada, IA 50201
(515) 382-5413
✔ PECOS✔ Accepts MedicareSame address
Curtis Oloughlin, M.D.
Family Practice
NPI 1134389307
640 S 19TH ST
Nevada, IA 50201
(515) 382-2111
✔ PECOS✔ Accepts MedicareSame address
Audra Poterucha, DO
Family Practice
NPI 1033569223
640 S 19TH ST STE 100
Nevada, IA 50201
(515) 382-5413
✔ PECOS✔ Accepts MedicareSame address
Kelly Check, DPM
Podiatry
NPI 1114991262
640 S 19TH ST STE 100
Nevada, IA 50201
(515) 382-5413
✔ PECOS✔ Accepts Medicare0.9 mi
Erin Nelson, DPM
Podiatry
NPI 1336255025
1606 S DUFF AVE STE 500
Ames, IA 50010
(515) 444-2390
✔ PECOS✔ Accepts Medicare9.1 mi
Stuart Christenson, MD
Cardiovascular Disease (Cardiology)
NPI 1336112499
1111 DUFF AVE
Ames, IA 50010
(515) 239-4472
✔ PECOS✔ Accepts Medicare9.2 mi
Alicia Murphy, ARNP
Nurse Practitioner
NPI 1578321238
1111 DUFF AVE
Ames, IA 50010
(515) 239-2011
✔ PECOS✔ Accepts Medicare9.2 mi
Jason Rasmussen, MD
Cardiovascular Disease (Cardiology)
NPI 1326279290
1111 DUFF AVENUE
Ames, IA 50010
(515) 239-4472
✔ PECOS✔ Accepts Medicare9.2 mi
Esteffania Villegas-Santamaria, MD
Cardiovascular Disease (Cardiology)
NPI 1457804395
1111 DUFF AVE
Ames, IA 50010
(515) 239-4472
✔ PECOS✔ Accepts Medicare9.2 mi
Mindy Royster, ARNP
Nurse Practitioner
NPI 1174987341
1015 UNION ST
Boone, IA 50036
(515) 433-8278
✔ PECOS✔ Accepts Medicare23 mi
Stephanie Gorsuch, NURSE PRACTITIONER
Nurse Practitioner
NPI 1942975578
1055 SW ORALABOR RD
Ankeny, IA 50023
(833) 977-1280
✔ PECOS24 mi
Cole Strain, ARNP, FNP-BC, FNP-C
Nurse Practitioner
NPI 1396468807
411 LAUREL ST STE A120
Des Moines, IA 50314
(515) 643-7900
✔ PECOS✔ Accepts Medicare31 mi
Dennis Whitmer, DO
General Surgery
NPI 1124134846
411 LAUREL ST SUITE 2100
Des Moines, IA 50314
(515) 247-3266
✔ PECOS✔ Accepts Medicare31 mi
Danielle Mcmillen, DO
General Surgery
NPI 1295394005
1316 S MAIN ST
Clarion, IA 50525
(844) 474-4321
✔ PECOS✔ Accepts Medicare51 mi
Gautam Kakade, MD
Internal Medicine
NPI 1992777049
1316 S MAIN ST
Clarion, IA 50525
(515) 532-2811
✔ PECOS✔ Accepts Medicare51 mi
Katrina Hotka-Truempler, APRN
Nurse Practitioner
NPI 1215301791
300 W MAY ST
Marengo, IA 52301
(319) 642-8119
✔ PECOS✔ Accepts Medicare72 mi
William Barnhill, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1710962519
3500 EDGEWOOD RD NE APT 201
Cedar Rapids, IA 52402
(319) 540-1460
✔ PECOS✔ Accepts Medicare89 mi
Keegan Overbey, ARNP
Nurse Practitioner
NPI 1942775754
200 HAWKINS DR
Iowa City, IA 52242
(319) 356-1616
✔ PECOS✔ Accepts Medicare100 mi
See all 30 clinicians

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 Story County Hospital's NPI number?

The NPI number for Story County Hospital is 1023080504. It was assigned to this organization in the NPPES registry on February 7, 2006. The provider is doing business as Nevada Medical Clinic.

Where is Story County Hospital located?

Story County Hospital is located at 640 S 19th St, Nevada, IA 50201. The listed phone number is (515) 382-5413.

What is Story County Hospital's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Story County Hospital enrolled in Medicare?

Yes. Story County Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Story County Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 30 clinicians in 7 Medicare specialties reassign their Medicare billing to Story County Hospital. 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 (14), Family Practice (5) and Cardiovascular Disease (Cardiology) (3). Of these, 5 practice at this address and 11 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 Story County Hospital was last updated on February 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.