1. Home
  2. Directory
  3. Iowa
  4. Ackley
  5. Nurse Practitioner
  6. NPI Profile

A DEPARTMENT OF ELLSWORTH HOSPITAL
NPI 1124307129
Nurse Practitioner - Family in Ackley, IA

Active since August 08, 2011
1000 10TH AVE, ACKLEY, IA 50601(641) 847-2625(641) 847-2509 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About A Department Of Ellsworth Hospital NPPES

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

A DEPARTMENT OF ELLSWORTH HOSPITAL (NPI 1124307129) is a healthcare organization registered as a family in Ackley, Iowa and active in the NPI registry since August 2011. The organization lists Darla Sue Nederhoff, Clinic Manager, as its authorized official.

NPPES Registry Identity

NPI1124307129
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameACKLEY MEDICAL CENTER
Location Address1000 10TH AVEAckley, IA 50601-1701
Mailing Address1000 10th AveAckley, IA 50601-1701
Phone(641) 847-2625
Fax(641) 847-2509
Organization SubpartYesParent: Ellsworth Municipal Hospital
Authorized OfficialDarla Sue NederhoffClinic Manager · (641) 847-2625
Enumeration DateAugust 8, 2011
Last NPPES UpdateDecember 3, 2020
NPPES CertifiedDecember 3, 2020
✔ NPI 1124307129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IA · 118827
1000 10TH AVE, Ackley, IA 50601
Open in Google Maps ↗

Other Names 1

Doing Business AsA Department Of Ellsworth Hospital

Other Identifiers 1

Other118827IA · License Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Waiver 16D0384461

Ackley Medical Center · Ackley, IA
Expired · Jul 31, 2026
CLIA Number16D0384461
Laboratory TypePhysician Office
Certificate Effective DateAugust 1, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorAdam Waterman
Laboratory Phone(641) 847-2625
Laboratory LocationAckley Medical Center1000 10th Avenue, Ackley, IA 50601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

ELLSWORTH MUNICIPAL HOSPITAL
Family Medicine
1000 10TH AVE
ACKLEY, IA 50601
Hardin County (641) 847-2625
TIFFANY J GRAMBLIN ARNP
Nurse Practitioner (Family)
1000 10TH AVE
ACKLEY, IA 50601
Hardin County (641) 847-2625
JENNIFER LYNN JASS A.R.N.P
Nurse Practitioner (Family)
1000 10TH AVE
ACKLEY, IA 50601
Hardin County (641) 847-2625

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 Ackley Medical Center's NPI number?

The NPI number for Ackley Medical Center is 1124307129. It was assigned to this organization in the NPPES registry on August 8, 2011. The provider is doing business as A Department Of Ellsworth Hospital.

Where is Ackley Medical Center located?

Ackley Medical Center is located at 1000 10th Ave, Ackley, IA 50601. The listed phone number is (641) 847-2625.

What is Ackley Medical Center's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Ackley Medical Center was last updated on December 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.