KEVIN GENE KOLLBAUM PA
NPI 1154358885
Physician Assistant - Medical in Onawa, IA

Active since June 27, 2006PECOS Enrolled
1614 DIAMOND STREET PL, ONAWA, IA 51040(712) 423-1525(712) 423-2528 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kevin Gene Kollbaum Pa NPPES

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

KEVIN GENE KOLLBAUM PA (NPI 1154358885) is an individual medical provider in Onawa, Iowa, licensed in Iowa (001521) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154358885
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameKEVIN GENE KOLLBAUMCredential: PA
Location Address1614 DIAMOND STREET PLOnawa, IA 51040-1554
Mailing Address1614 Diamond Street PlOnawa, IA 51040-1554 · (712) 423-1525 · Fax (712) 423-2528
Fax(712) 423-2528
Sole ProprietorNo
Enumeration DateJune 27, 2006
Last NPPES UpdateMarch 7, 2023
NPI 1154358885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in IA · 001521
1614 DIAMOND STREET PL, Onawa, IA 51040

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kevin Gene Kollbaum Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 16

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

Family Medicine
1614 DIAMOND STREET PL
ONAWA, IA 51040
Family Medicine
1614 DIAMOND STREET PL
ONAWA, IA 51040
Family Medicine
1614 DIAMOND STREET PL
ONAWA, IA 51040
Family Medicine
1614 DIAMOND STREET PL
ONAWA, IA 51040
Family Medicine
1614 DIAMOND STREET PL
ONAWA, IA 51040
Family Medicine
1614 DIAMOND STREET PL
ONAWA, IA 51040
Registered Nurse (General Practice)
1614 DIAMOND STREET PL
ONAWA, IA 51040
Physician Assistant
1614 DIAMOND STREET PL
ONAWA, IA 51040

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 Kevin Kollbaum's NPI number?

The NPI number for Kevin Kollbaum is 1154358885. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Kevin Kollbaum located?

Kevin Kollbaum practices at 1614 Diamond Street Pl, Onawa, IA 51040. The listed phone number is (712) 423-1525.

What is Kevin Kollbaum's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kevin Kollbaum enrolled in Medicare?

Yes. Kevin Kollbaum is registered in the Medicare PECOS enrollment system.

What insurance does Kevin Kollbaum accept?

Health plans from Medica list Kevin Kollbaum 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 Kevin Kollbaum was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.