ACTIVE HEALTH CLINICS
NPI 1215582333
General Practice in Fort Dodge, IA

Active since August 06, 2019CLIA 16D2092897 · Waiver
20 N 29TH ST, FORT DODGE, IA 50501(515) 227-7491 Get Directions Write a Review

NPPES record last updated: August 6, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Active Health Clinics NPPES

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

ACTIVE HEALTH CLINICS (NPI 1215582333) is a healthcare organization registered as a general practice in Fort Dodge, Iowa and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through March 15, 2027 and lists Joshua Joe Mason, Owner, as its authorized official.

NPPES Registry Identity

NPI1215582333
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameACTIVE HEALTH CLINICS
Location Address20 N 29TH STFort Dodge, IA 50501-2990
Mailing Address20 N 29th StFort Dodge, IA 50501-2990 · (515) 227-7491
Organization SubpartNo
Authorized OfficialJoshua Joe MasonOwner · (515) 227-7491
Enumeration DateAugust 6, 2019
✔ NPI 1215582333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
20 N 29TH ST, Fort Dodge, IA 50501

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Active Health Clinics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Active Health Clinics, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Nurse Practitioner
NPI 1619202868
20 N 29TH ST
Fort Dodge, IA 50501
(515) 227-7491
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1134631195
20 N 29TH ST
Fort Dodge, IA 50501
(515) 570-8358
✔ PECOSSame address
Chiropractic
NPI 1598724130
20 N 29TH ST
Fort Dodge, IA 50501
(515) 227-7491
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1205787314
20 N 29TH ST
Fort Dodge, IA 50501
(515) 227-7491
✔ Accepts MedicareSame address
Chiropractic
NPI 1689962615
1523 2ND AVE N
Fort Dodge, IA 50501
(515) 227-7491
✔ Accepts Medicare1.0 mi
Chiropractic
NPI 1336801091
105 NE TRILEIN DR
Ankeny, IA 50021
(515) 964-0627
61 mi
Chiropractic
NPI 1306332556
302 E DUNHAM AVE
Des Moines, IA 50315
(515) 297-9475
70 mi
Nurse Practitioner
NPI 1720740723
522 N HANCOCK ST
Ottumwa, IA 52501
(641) 683-0800
✔ PECOS✔ Accepts Medicare137 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 16D2092897

Active Health Clinics · Fort Dodge, IA
Active · expires Mar 15, 2027
CLIA Number16D2092897
Laboratory TypePractitioner Other
Certificate Effective DateMarch 16, 2025
Certificate Expiration DateMarch 15, 2027
Laboratory DirectorRachel F. Pederson
Laboratory Phone(515) 227-7491
Laboratory LocationActive Health Clinics20 North 29th St, Fort Dodge, IA 50501
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories Active Health Clinic carries, from the Medicare DMEPOS supplier directory.

Active Health Clinic

DMEPOS supplier · Fort Dodge, IAOperated by Active Health Clinics
✔

Accepts Medicare assignment

Active Health Clinic agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20419751
Medicare Participant SinceSeptember 25, 2019
Supplier Location20 N 29th StFort Dodge, IA 50501
Supplier Specialties
Medical Supply Company Other Orthotic Personnel

Medicare Product Categories

Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Active Health Clinics's NPI number?

The NPI number for Active Health Clinics is 1215582333. It was assigned to this organization in the NPPES registry on August 6, 2019.

Where is Active Health Clinics located?

Active Health Clinics is located at 20 N 29th St, Fort Dodge, IA 50501. The listed phone number is (515) 227-7491.

What is Active Health Clinics's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Active Health Clinics enrolled in Medicare?

Yes. Active Health Clinics is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Active Health Clinics?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Active Health Clinics. 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 Chiropractic (4), Nurse Practitioner (3) and Physical Therapist in Private Practice (1). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Active Health Clinics accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Active Health Clinic accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Active Health Clinics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2092897) is associated with this NPI, valid through March 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Active Health Clinics was last updated on August 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.