DEVRIES MEDICAL CLINIC, PLLC
NPI 1356802631
Clinic/Center - Multi-Specialty in Cedar Falls, IA
About Devries Medical Clinic, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEVRIES MEDICAL CLINIC, PLLC (NPI 1356802631) is a healthcare organization registered as a multi-specialty in Cedar Falls, Iowa and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through November 20, 2027 and lists Angela Devries, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Devries Medical Clinic, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Devries Medical Clinic, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 16D2175502
Devries Medicine, PLLC · Cedar Falls, IAFrequently 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 Devries Medicine PLLC's NPI number?
The NPI number for Devries Medicine PLLC is 1356802631. It was assigned to this organization in the NPPES registry on March 28, 2019. The provider is doing business as Devries Medical Clinic, PLLC.
Where is Devries Medicine PLLC located?
Devries Medicine PLLC is located at 2712 Orchard Drive Suite B, Cedar Falls, IA 50613. The listed phone number is (319) 404-2262.
What is Devries Medicine PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Devries Medicine PLLC enrolled in Medicare?
Yes. Devries Medicine PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Devries Medicine PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Devries Medicine 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Devries Medicine PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 16D2175502) is associated with this NPI, valid through November 20, 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 Devries Medicine PLLC was last updated on October 13, 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.
# Devries Medical Clinic, Pllc · NPI 1356802631
Multi-Specialty organization in Cedar Falls, Iowa. Organization record, active in the CMS NPPES registry since March 28, 2019.
## Identity
- **NPI:** 1356802631 (Entity type: Organization)
- **Enumerated:** March 28, 2019
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Legal business name:** Devries Medicine Pllc
- **Organization subpart:** No
- **Authorized official:** Angela Devries, OWNER
## Practice location
- **Address:** 2712 ORCHARD DRIVE SUITE B, Cedar Falls, IA 50613-4235
- **Phone:** (319) 404-2262
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 13, 2019
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1356802631) · Data from the CMS NPPES public registry.