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ELIM DPC PLLC
NPI 1134076797
Clinic/Center - Primary Care in Indianola, IA

Active since March 12, 2026CLIA 16D2343982 · Waiver
909 E 2ND AVE STE G, INDIANOLA, IA 50125(515) 316-4128 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elim Dpc Pllc NPPES

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

ELIM DPC PLLC (NPI 1134076797) is a healthcare organization registered as a primary care in Indianola, Iowa and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through May 13, 2028 and lists Jessica Devault, Owner, as its authorized official.

NPPES Registry Identity

NPI1134076797
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameELIM DPC PLLC
Location Address909 E 2ND AVE STE GIndianola, IA 50125-2892
Mailing Address112 S 19th CtIndianola, IA 50125-4725 · (515) 316-4128
Phone(515) 316-4128
Organization SubpartNo
Authorized OfficialJessica DevaultOwner · (515) 316-4128
Enumeration DateMarch 12, 2026
NPPES CertifiedMarch 12, 2026
✔ NPI 1134076797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X
909 E 2ND AVE STE G, Indianola, IA 50125
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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 16D2343982

Elim Dpc · Indianola, IA
Active · expires May 13, 2028
CLIA Number16D2343982
Laboratory TypePractitioner Other
Certificate Effective DateMay 14, 2026
Certificate Expiration DateMay 13, 2028
Laboratory DirectorJessica D. Devault
Laboratory Phone(515) 316-4128
Laboratory LocationElim Dpc909 E 2nd Ave Ste G, Indianola, IA 50125
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Elim Dpc PLLC's NPI number?

The NPI number for Elim Dpc PLLC is 1134076797. It was assigned to this organization in the NPPES registry on March 12, 2026.

Where is Elim Dpc PLLC located?

Elim Dpc PLLC is located at 909 E 2nd Ave Ste G, Indianola, IA 50125. The listed phone number is (515) 316-4128.

What is Elim Dpc PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Elim Dpc PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2343982) is associated with this NPI, valid through May 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 Elim Dpc PLLC was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.