NORTHWEST IOWA UROLOGISTS PC
NPI 1063465003
Specialist in Spencer, IA

Active since May 19, 2006
1200 1ST AVE E, SUITE B, SPENCER, IA 51301(712) 262-6214(712) 262-6216 Get Directions Write a Review

NPPES record last updated: January 8, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Northwest Iowa Urologists Pc NPPES

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

NORTHWEST IOWA UROLOGISTS PC (NPI 1063465003) is a healthcare organization registered as a specialist in Spencer, Iowa and active in the NPI registry since May 2006. The organization lists Walter Leslie Mendenhall, President, as its authorized official.

NPPES Registry Identity

NPI1063465003
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNORTHWEST IOWA UROLOGISTS PC
Location Address1200 1ST AVE E, SUITE BSpencer, IA 51301-4342
Mailing Address1200 1st Ave E, Suite BSpencer, IA 51301-4342 · (712) 262-6214 · Fax (712) 262-6216
Fax(712) 262-6216
Organization SubpartNo
Authorized OfficialWalter Leslie MendenhallPresident · (712) 262-6214
Enumeration DateMay 19, 2006
Last NPPES UpdateJanuary 8, 2014
✔ NPI 1063465003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses✔ Licensed in IA · 24150✔ Licensed in IA · 20168
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 20168 (IA)
1200 1ST AVE E, Spencer, IA 51301

Other Identifiers 4

Medicare PIN18324IA
Medicaid0183244IA
Medicare PINCH00011IA
Medicare PINCP8558IA

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)

Northwest Iowa Urologists Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Northwest Iowa Urologists PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1649568825
1200 1ST AVE E SUITE B
Spencer, IA 51301
(712) 262-6214
✔ PECOS✔ Accepts Medicare0.2 mi
Urology
NPI 1538162250
3319 SPRING ST
Davenport, IA 52807
(563) 359-1641
✔ PECOS✔ Accepts Medicare260 mi
Urology
NPI 1497041172
28565 SCHOENHERR RD
Warren, MI 48088
(586) 576-4140
✔ PECOS✔ Accepts Medicare619 mi

Source: 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

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 Compliance 16D0385488

Northwest Iowa Urologists, PC · Spencer, IA
Expired · Oct 10, 2026
CLIA Number16D0385488
Laboratory TypePhysician Office
Certificate Effective DateOctober 11, 2024
Certificate Expiration DateOctober 10, 2026
Laboratory DirectorDr. Charlotte Caligiuri
Laboratory Phone(712) 262-6214
Laboratory LocationNorthwest Iowa Urologists, PC1200 1st Avenue East Suite B, Spencer, IA 51301
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Northwest Iowa Urologists PC's NPI number?

The NPI number for Northwest Iowa Urologists PC is 1063465003. It was assigned to this organization in the NPPES registry on May 19, 2006.

Where is Northwest Iowa Urologists PC located?

Northwest Iowa Urologists PC is located at 1200 1st Ave E Suite B, Spencer, IA 51301. The listed phone number is (712) 262-6214.

What is Northwest Iowa Urologists PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Northwest Iowa Urologists PC enrolled in Medicare?

Yes. Northwest Iowa Urologists PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northwest Iowa Urologists PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Northwest Iowa Urologists PC, in Nurse Practitioner and Urology. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Northwest Iowa Urologists PC accept?

Health plans from Avera Health Plans and Sanford Health Plan list Northwest Iowa Urologists PC 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 Northwest Iowa Urologists PC was last updated on January 8, 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.