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PELLA MEDICAL CLINIC
NPI 1053369405
Clinic/Center - Multi-Specialty in Pella, IA

Active since May 05, 2006CLIA Certified · 2 labs
405 MONROE ST, PELLA, IA 50219(641) 628-3832(641) 628-8894 Get Directions Write a Review

NPPES record last updated: October 20, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1053369405
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePELLA REGIONAL HEALTH CENTER
Location Address405 MONROE STPella, IA 50219-1189
Mailing Address405 Monroe StPella, IA 50219-1189 · (641) 628-3832 · Fax (641) 628-8894
Phone(641) 628-3832
Fax(641) 628-8894
Organization SubpartNo
Authorized OfficialRobert D KroeseCeo · (641) 628-6604
Enumeration DateMay 5, 2006
Last NPPES UpdateOctober 20, 2014
✔ NPI 1053369405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License✔ Licensed in IA · 630165H
Also ListedFamily MedicineTaxonomy 207Q00000X · License 630165H (IA)
Also ListedInternal MedicineTaxonomy 207R00000X · License 630165H (IA)
405 MONROE ST, Pella, IA 50219
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Other Names 1

Doing Business AsPella Medical Clinic

Other Identifiers 5

Medicare ID-Type Unspecified56091IA · Medicare Number
OtherCC5750IA · Railroad Medicare
Other16D0383077IA · Clia Number
Medicaid0147223IA
Medicare PIN56091IA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

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, IA
Active · expires Dec 31, 2026
CLIA Number16D0383077
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2025
Certificate Expiration DateDecember 31, 2026
Laboratory DirectorSara B. Kilborn
Laboratory Phone(641) 621-2200
Laboratory LocationPella Medical Clinic405 Monroe Street, Pella, IA 50219
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 16D0685413

Pella Regional Health Center · Pella, IA
Active · expires Jun 6, 2027
CLIA Number16D0685413
Laboratory TypeHospital
Certificate Effective DateJune 7, 2025
Certificate Expiration DateJune 6, 2027
Laboratory DirectorDr. Sara B. Kilborn
Laboratory Phone(641) 628-6626
Laboratory LocationPella Regional Health Center404 Jefferson Street, Pella, IA 50219
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

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

CENTRAL IOWA PODIATRY INC
Podiatrist
405 MONROE ST
PELLA, IA 50219
Marion County (641) 628-3542
CLAIRE MARIE GROTH
Dietitian, Registered
405 MONROE ST
PELLA, IA 50219
Marion County (641) 621-2325
ALLISON DOP PHARM D
Pharmacist
405 MONROE ST
PELLA, IA 50219
Marion County (641) 621-2444
DR. TEREASA L. VAN ZEE DO
Family Medicine
405 MONROE ST
PELLA, IA 50219
Marion County (641) 621-2200
MADISON PAIGE FARRINGTON
Physician Assistant
405 MONROE ST
PELLA, IA 50219
Marion County (641) 621-2200
ELIZABETH AUDREY VERMEER
Physical Therapist
405 MONROE ST
PELLA, IA 50219
Marion County (641) 628-3832
DR. ROBERT SCOT DYKSTRA DO
Family Medicine
405 MONROE ST
PELLA, IA 50219
Marion County (641) 621-2200
DR. DANIELLE K CLARK D.O.
Family Medicine
405 MONROE ST
PELLA, IA 50219
Marion County (641) 621-2200

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 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.

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 Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer 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 11 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.