BURDS FAMILY PRACTICE
NPI 1194432864
Nurse Practitioner - Family in Peosta, IA

Active since November 02, 2022CLIA 16D2272774 · Waiver
8411 PEOSTA COMMERCIAL CT, PEOSTA, IA 52068(563) 588-6659 Get Directions Write a Review

NPPES record last updated: March 3, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 3, 2023, Nov 2, 2022 (2 updates tracked since 2022).

About Burds Family Practice NPPES

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

BURDS FAMILY PRACTICE (NPI 1194432864) is a healthcare organization registered as a family in Peosta, Iowa and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through November 28, 2026 and lists Jennifer Marie Burds, Owner, as its authorized official.

NPPES Registry Identity

NPI1194432864
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBURDS FAMILY PRACTICE
Location Address8411 PEOSTA COMMERCIAL CTPeosta, IA 52068
Mailing Address10768 Cox Springs RdPeosta, IA 52068-9649 · (563) 451-3273
Organization SubpartNo
Authorized OfficialJennifer Marie BurdsOwner · (563) 451-3273
Enumeration DateNovember 2, 2022
Last NPPES UpdateMarch 3, 20232 updates tracked since enumeration
NPPES CertifiedMarch 3, 2023
✔ NPI 1194432864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedClinic/CenterTaxonomy 261Q00000X
8411 PEOSTA COMMERCIAL CT, Peosta, IA 52068

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Burds Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Burds Family Practice, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1306680749
8411 PEOSTA COMMERCIAL CT STE 8
Peosta, IA 52068
(563) 235-1866
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1639433030
1500 DELHI ST SUITE 4100
Dubuque, IA 52001
(563) 557-5900
✔ PECOS✔ Accepts Medicare9.1 mi

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 Waiver 16D2272774

Burds Family Practice · Peosta, IA
Active · expires Nov 28, 2026
CLIA Number16D2272774
Laboratory TypePhysician Office
Certificate Effective DateNovember 29, 2024
Certificate Expiration DateNovember 28, 2026
Laboratory DirectorJennifer M. Burds
Laboratory Phone(563) 588-6659
Laboratory LocationBurds Family Practice8411 Peosta Commercial Ct Suite 8, Peosta, IA 52068
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 Burds Family Practice's NPI number?

The NPI number for Burds Family Practice is 1194432864. It was assigned to this organization in the NPPES registry on November 2, 2022.

Where is Burds Family Practice located?

Burds Family Practice is located at 8411 Peosta Commercial Ct, Peosta, IA 52068. The listed phone number is (563) 588-6659.

What is Burds Family Practice's specialty?

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

Is Burds Family Practice enrolled in Medicare?

Yes. Burds Family Practice is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Burds Family Practice?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Burds Family Practice. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Burds Family Practice hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2272774) is associated with this NPI, valid through November 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Burds Family Practice was last updated on March 3, 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.