INFINITY HEALTH - ARCHIVED
NPI 1083830236
Clinic/Center - Federally Qualified Health Center (FQHC) in Lamoni, IA

Active since April 17, 2007CLIA 16D0382881 · Certificate of Compliance
802 ACKERLEY ST, LAMONI, IA 50140(641) 784-7911(641) 784-6162 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Infinity Health - Archived NPPES

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

INFINITY HEALTH - ARCHIVED (NPI 1083830236) is a healthcare organization registered as a federally qualified health center (fqhc) in Lamoni, Iowa and active in the NPI registry since April 2007. The organization holds a CLIA Certificate of Compliance certificate valid through November 13, 2028 and lists Samantha Cannon, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083830236
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameINFINITY HEALTH - ARCHIVED
Location Address802 ACKERLEY STLamoni, IA 50140-1544
Mailing Address302 Ne 14th StLeon, IA 50144-1206 · (641) 446-2383 · Fax (641) 446-2382
Fax(641) 784-6162
Organization SubpartNo
Authorized OfficialSamantha CannonCeo · (641) 446-2383
Enumeration DateApril 17, 2007
Last NPPES UpdateFebruary 11, 2022
NPPES CertifiedFebruary 11, 2022
✔ NPI 1083830236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
802 ACKERLEY ST, Lamoni, IA 50140

Other Identifiers 4

Other61827IA · Wellmark Medicare Blue Ppo
Medicaid0462861IA
Other39015Wellmark Blue Cross/blue Shield
Medicaid507202208MO

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Infinity Health - Archived is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

26

Medicare enrollment records show 26 clinicians reassign Medicare billing to Infinity Health - Archived, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Nurse Practitioner9
Clinical Social Worker7
Mental Health Counselor6
Dentist3
Family Practice1

Nearest to this location (20)

See all 26
Family Practice
NPI 1629398987
302 NE 14TH ST
Leon, IA 50144
(641) 446-2383
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1598439713
302 NE 14TH ST
Leon, IA 50144
(641) 446-2383
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1508598640
302 NE 14TH ST
Leon, IA 50144
(641) 446-2383
✔ PECOS✔ Accepts Medicare13 mi
Clinical Social Worker
NPI 1821324641
302 NE 14TH ST
Leon, IA 50144
(641) 446-2383
✔ PECOS✔ Accepts Medicare13 mi
Mental Health Counselor
NPI 1053193227
302 NE 14TH ST
Leon, IA 50144
(641) 446-2383
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1598183493
302 NE 14TH ST
Leon, IA 50144
(641) 446-2383
✔ PECOS✔ Accepts Medicare13 mi
Dentist
NPI 1144063819
302 NE 14TH ST
Leon, IA 50144
(641) 446-2383
✔ PECOS13 mi
Clinical Social Worker
NPI 1932538576
302 NE 14TH ST
Leon, IA 50144
(641) 446-2383
✔ PECOS✔ Accepts Medicare13 mi
Clinical Social Worker
NPI 1215779194
302 NE 14TH ST
Leon, IA 50144
(641) 446-2383
✔ PECOS13 mi
Nurse Practitioner
NPI 1225844673
302 NE 14TH ST
Leon, IA 50144
(641) 446-2383
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1316510324
302 NE 14TH ST
Leon, IA 50144
(641) 446-2383
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1679986350
302 NE 14TH ST
Leon, IA 50144
(641) 446-2383
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1003155995
302 NE 14TH ST
Leon, IA 50144
(641) 446-2383
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1306440003
302 NE 14TH ST
Leon, IA 50144
(641) 446-2383
✔ PECOS✔ Accepts Medicare13 mi
Mental Health Counselor
NPI 1437100294
302 NE 14TH ST
Leon, IA 50144
(641) 446-2383
✔ PECOS✔ Accepts Medicare13 mi
Clinical Social Worker
NPI 1699459370
102 N FRANKLIN ST
Corydon, IA 50060
(641) 872-1750
✔ PECOS✔ Accepts Medicare33 mi
Clinical Social Worker
NPI 1306495999
1003 COTTONWOOD RD
Creston, IA 50801
(641) 782-8457
✔ PECOS✔ Accepts Medicare39 mi
Mental Health Counselor
NPI 1134969983
1711 OSCEOLA AVE
Chariton, IA 50049
(641) 774-8484
✔ PECOS42 mi
Dentist
NPI 1326451253
1008 W PLEASANT ST
Pleasantville, IA 50225
(515) 848-3691
✔ PECOS63 mi
Nurse Practitioner
NPI 1003624909
522 N HANCOCK ST
Ottumwa, IA 52501
(641) 683-0800
✔ PECOS✔ Accepts Medicare84 mi
See all 26 clinicians

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 16D0382881

Infinity Health · Lamoni, IA
Active · expires Nov 13, 2028
CLIA Number16D0382881
Laboratory TypePhysician Office
Certificate Effective DateNovember 14, 2026
Certificate Expiration DateNovember 13, 2028
Laboratory DirectorNathan B. Allen
Laboratory Phone(641) 784-3371
Laboratory LocationInfinity Health802 East Ackerly Street, Lamoni, IA 50140
CLIA data matches this NPI record on: Name
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 Infinity Health - Archived's NPI number?

The NPI number for Infinity Health - Archived is 1083830236. It was assigned to this organization in the NPPES registry on April 17, 2007.

Where is Infinity Health - Archived located?

Infinity Health - Archived is located at 802 Ackerley St, Lamoni, IA 50140. The listed phone number is (641) 784-7911.

What is Infinity Health - Archived's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Infinity Health - Archived enrolled in Medicare?

Yes. Infinity Health - Archived is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Infinity Health - Archived?

According to the CMS Revalidation Reassignment List (October 2026 release), 26 clinicians in 5 Medicare specialties reassign their Medicare billing to Infinity Health - Archived. 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 Nurse Practitioner (9), Clinical Social Worker (7) and Mental Health Counselor (6). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Infinity Health - Archived hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 16D0382881) is associated with this NPI, valid through November 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Infinity Health - Archived was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.