AMANA FAMILY PRACTICE CLINIC, PC
NPI 1073677019
Family Medicine in Amana, IA
About Amana Family Practice Clinic, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANA FAMILY PRACTICE CLINIC, PC (NPI 1073677019) is a healthcare organization registered as a family medicine in Amana, Iowa and active in the NPI registry since December 2006. The organization holds a CLIA Microscopy certificate valid through December 22, 2027 and lists Erica L Zimmerman, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amana Family Practice Clinic, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Amana Family Practice Clinic, PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 for Provider-Performed Microscopy Procedures (PPMP) 16D0386379
Amana Family Practice Clinic PC · Amana, 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 Amana Family Practice Clinic, PC's NPI number?
The NPI number for Amana Family Practice Clinic, PC is 1073677019. It was assigned to this organization in the NPPES registry on December 21, 2006.
Where is Amana Family Practice Clinic, PC located?
Amana Family Practice Clinic, PC is located at 505 39th Ave, Amana, IA 52203. The listed phone number is (319) 622-3231.
What is Amana Family Practice Clinic, PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Amana Family Practice Clinic, PC enrolled in Medicare?
Yes. Amana Family Practice Clinic, PC is registered in the Medicare PECOS enrollment system.
When is Amana Family Practice Clinic, PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Iowa, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Amana Family Practice Clinic, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Amana Family Practice Clinic, PC, in Family Practice and Registered Dietitian or Nutrition Professional. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Amana Family Practice Clinic, PC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 16D0386379) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Amana Family Practice Clinic, PC accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Amana Family Practice Clinic, 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 Amana Family Practice Clinic, PC was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Amana Family Practice Clinic, Pc · NPI 1073677019
Family Medicine organization in Amana, Iowa. Organization record, active in the CMS NPPES registry since December 21, 2006.
## Identity
- **NPI:** 1073677019 (Entity type: Organization)
- **Enumerated:** December 21, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Erica Zimmerman, OFFICE MANAGER
## Practice location
- **Address:** 505 39TH AVE, Amana, IA 52203-8229
- **Phone:** (319) 622-3231 · **Fax:** (319) 622-3077
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Iowa, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Registered Dietitian or Nutrition Professional (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 18, 2025
- **Other identifiers:** Other CJ8590 (IA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073677019) · Data from the CMS NPPES public registry.