GRACEFUL SECRETS MEDSPA
NPI 1073279303
Clinic/Center - Health Service in Saint Ansgar, IA

Active since November 10, 2021CLIA 16D2272773 · Waiver
204 E 4TH ST, SAINT ANSGAR, IA 50472(507) 254-8329(319) 409-8274 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Graceful Secrets Medspa NPPES

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

GRACEFUL SECRETS MEDSPA (NPI 1073279303) is a healthcare organization registered as a health service in Saint Ansgar, Iowa and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through November 28, 2026, maintains a secondary practice location in Saint Ansgar, and lists Jennifer Dianne Neumann, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1073279303
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameGRACEFUL SECRETS MEDSPA
Location Address204 E 4TH STSaint Ansgar, IA 50472-9606
Mailing Address4673 Cameo AveSaint Ansgar, IA 50472-8544 · (507) 254-8329 · Fax (319) 409-8274
Fax(319) 409-8274
Organization SubpartYesParent: Neumann Llc
Authorized OfficialJennifer Dianne NeumannOwner/provider · (507) 254-8329
Enumeration DateNovember 10, 2021
NPPES CertifiedNovember 10, 2021
NPI 1073279303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
204 E 4TH ST, Saint Ansgar, IA 50472

Secondary Practice Location 1

Location 14673 Cameo AveSaint Ansgar, IA 50472-8544 · Phone (507) 254-8329 · Fax (319) 409-8274

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
16D2272773
Facility Type
Physician Office
Certificate Effective Date
November 29, 2024
Certificate Expiration Date
November 28, 2026
Laboratory Director
JENNIFER D. NEUMANN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Graceful Secrets Medspa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner (Family)
204 E 4TH ST
SAINT ANSGAR, IA 50472

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073279303, enumerated as an "organization" on November 10, 2021.

The provider is located at 204 E 4TH ST SAINT ANSGAR, IA 50472 and the phone number is (507) 254-8329.

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.