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ADVANCED KIDNEY CARE PLLC
NPI 1154193712
Internal Medicine - Nephrology in Council Bluffs, IA

Active since October 26, 2023
900 WOODBURY AVE STE 8B, COUNCIL BLUFFS, IA 51503(712) 796-2545(712) 847-6095 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 20, 2026, Jan 15, 2026, Feb 5, 2025 and 1 more (4 updates tracked since 2023).

About Advanced Kidney Care Pllc NPPES

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

ADVANCED KIDNEY CARE PLLC (NPI 1154193712) is a healthcare organization registered as a nephrology in Council Bluffs, Iowa and active in the NPI registry since October 2023. The organization maintains a secondary practice location in Council Bluffs and lists Jeremy P Pepin, Owner, as its authorized official.

NPPES Registry Identity

NPI1154193712
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameADVANCED KIDNEY CARE PLLC
Location Address900 WOODBURY AVE STE 8BCouncil Bluffs, IA 51503-7855
Mailing Address900 Woodbury Ave Ste 8bCouncil Bluffs, IA 51503-7855 · (712) 796-2545 · Fax (712) 847-6095
Phone(712) 796-2545
Fax(712) 847-6095
Organization SubpartNo
Authorized OfficialJeremy P PepinOwner · (605) 890-6456
Enumeration DateOctober 26, 2023
Last NPPES UpdateJanuary 20, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
✔ NPI 1154193712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
900 WOODBURY AVE STE 8B, Council Bluffs, IA 51503
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Other Names 1

Other NameAdvanced Kidney Care Llc

Secondary Practice Location 1

Location 1103 North Ave Ste 8Council Bluffs, IA 51503-1613 · Phone (712) 796-2545 · Fax (712) 847-6095

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Kidney Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Advanced Kidney Care PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Laura Ayers, ARNP
Nurse Practitioner
NPI 1063233815
900 WOODBURY AVE STE 8B
Council Bluffs, IA 51503
(712) 796-2545
✔ PECOS✔ Accepts MedicareSame address
Pamela Hetzel, DNP
Nurse Practitioner
NPI 1902644685
900 WOODBURY AVE STE 8B
Council Bluffs, IA 51503
(712) 796-2545
✔ PECOSSame address
Jeremy Pepin, M.D.
Nephrology
NPI 1073995973
103 NORTH AVE STE 8
Council Bluffs, IA 51503
(712) 796-2545
✔ PECOS✔ Accepts Medicare2.3 mi
Annetta Van Every
Nurse Practitioner
NPI 1588326136
988102 NEBRASKA MEDICAL CTR
Omaha, NE 68198
(402) 552-2000
✔ PECOS✔ Accepts Medicare18 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Advanced Kidney Care PLLC's NPI number?

The NPI number for Advanced Kidney Care PLLC is 1154193712. It was assigned to this organization in the NPPES registry on October 26, 2023. The provider is also known as Advanced Kidney Care LLC.

Where is Advanced Kidney Care PLLC located?

Advanced Kidney Care PLLC is located at 900 Woodbury Ave Ste 8B, Council Bluffs, IA 51503. The listed phone number is (712) 796-2545.

What is Advanced Kidney Care PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Advanced Kidney Care PLLC enrolled in Medicare?

Yes. Advanced Kidney Care PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Kidney Care PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Advanced Kidney Care PLLC. 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 (3) and Nephrology (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Advanced Kidney Care PLLC accept?

Health plans from Blue Cross and Blue Shield of Nebraska and Medica list Advanced Kidney Care PLLC 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 Advanced Kidney Care PLLC was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.