PELLA MEDICAL CLINIC
NPI 1053369405
Clinic/Center - Multi-Specialty in Pella, IA
About Pella Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PELLA MEDICAL CLINIC (NPI 1053369405) is a healthcare organization registered as a multi-specialty in Pella, Iowa and active in the NPI registry since May 2006. The organization holds 2 active CLIA laboratory certificates and lists Robert D Kroese, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 5
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pella Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
129Medicare enrollment records show 129 clinicians reassign Medicare billing to Pella Medical Clinic, which bills Medicare for the services they deliver. Of these, 40 practice at this address and 50 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 21
Nearest to this location (20)
See all 129Source: 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 2
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 16D0383077
Pella Medical Clinic · Pella, IACertificate of Accreditation 16D0685413
Pella Regional Health Center · Pella, IAFrequently 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 Pella Regional Health Center's NPI number?
The NPI number for Pella Regional Health Center is 1053369405. It was assigned to this organization in the NPPES registry on May 5, 2006. The provider is doing business as Pella Medical Clinic.
Where is Pella Regional Health Center located?
Pella Regional Health Center is located at 405 Monroe St, Pella, IA 50219. The listed phone number is (641) 628-3832.
What is Pella Regional Health Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Pella Regional Health Center enrolled in Medicare?
Yes. Pella Regional Health Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pella Regional Health Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 129 clinicians in 21 Medicare specialties reassign their Medicare billing to Pella Regional Health 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 Family Practice (23), Diagnostic Radiology (18) and Nurse Practitioner (18). Of these, 40 practice at this address and 50 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pella Regional Health Center hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Pella Regional Health Center accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Pella Regional Health Center 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 Pella Regional Health Center was last updated on October 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Pella Medical Clinic · NPI 1053369405
Multi-Specialty organization in Pella, Iowa. Organization record, active in the CMS NPPES registry since May 5, 2006.
## Identity
- **NPI:** 1053369405 (Entity type: Organization)
- **Enumerated:** May 5, 2006
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Legal business name:** Pella Regional Health Center
- **Organization subpart:** No
- **Authorized official:** Robert Kroese, CEO
## Practice location
- **Address:** 405 MONROE ST, Pella, IA 50219-1189
- **Phone:** (641) 628-3832 · **Fax:** (641) 628-8894
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 129 clinicians in 21 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (23), Diagnostic Radiology (18), Nurse Practitioner (18); 40 practice at this address and 50 within 10 miles; [full list](https://npiprofile.com/npi/1053369405/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 20, 2014
- **Other identifiers:** Medicare ID-Type Unspecified 56091 (IA); Other CC5750 (IA); Other 16D0383077 (IA); and 2 more
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1053369405) · Data from the CMS NPPES public registry.