GL FAYETTE CLINIC
NPI 1053366518
Clinic/Center in Fayette, IA
About Gl Fayette Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GL FAYETTE CLINIC (NPI 1053366518) is a healthcare organization registered as a clinic/center in Fayette, Iowa and active in the NPI registry since May 2006. The organization lists Kari B Adank, Cco, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gl Fayette Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
925Medicare enrollment records show 925 clinicians reassign Medicare billing to Gl Fayette Clinic, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 69
Nearest to this location (20)
See all 925Cedar Rapids, IA 52401
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 Gundersen Clinic, Ltd.'s NPI number?
The NPI number for Gundersen Clinic, Ltd. is 1053366518. It was assigned to this organization in the NPPES registry on May 23, 2006. The provider is also known as Gl Fayette Clinic.
Where is Gundersen Clinic, Ltd. located?
Gundersen Clinic, Ltd. is located at 110 King Street, Fayette, IA 52142. The listed phone number is (608) 782-7300.
What is Gundersen Clinic, Ltd.'s specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Gundersen Clinic, Ltd. enrolled in Medicare?
Yes. Gundersen Clinic, Ltd. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gundersen Clinic, Ltd.?
According to the CMS Revalidation Reassignment List (October 2026 release), 925 clinicians in 69 Medicare specialties reassign their Medicare billing to Gundersen Clinic, Ltd.. 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 (112), Family Practice (93) and Internal Medicine (72). 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 Gundersen Clinic, Ltd. was last updated on March 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Gl Fayette Clinic · NPI 1053366518
Clinic/Center organization in Fayette, Iowa. Organization record, active in the CMS NPPES registry since May 23, 2006.
## Identity
- **NPI:** 1053366518 (Entity type: Organization)
- **Enumerated:** May 23, 2006
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Legal business name:** Gundersen Clinic, Ltd.
- **Organization subpart:** Yes (part of Gundersen Clinic, Ltd.)
- **Authorized official:** Kari Adank, CCO
## Practice location
- **Address:** 110 KING STREET, Fayette, IA 52142
- **Phone:** (608) 782-7300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 925 clinicians in 69 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (112), Family Practice (93), Internal Medicine (72); 1 practice within 10 miles; [full list](https://npiprofile.com/npi/1053366518/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 7, 2016
- **Other identifiers:** Medicare ID-Type Unspecified 163818 (TN); Medicaid 0638189 (IA); Medicare NSC 0233450022 (IA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1053366518) · Data from the CMS NPPES public registry.