MAQUOKETA FAMILY CLINIC
NPI 1407845175
Family Medicine in Maquoketa, IA

Active since October 17, 2005CLIA 16D0386261 · Accreditation
206 N ARCADE ST, MAQUOKETA, IA 52060(563) 652-6711(563) 652-6715 Get Directions Write a Review

NPPES record last updated: September 2, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 2, 2022, Apr 21, 2021 (2 updates tracked since 2021).

About Maquoketa Family Clinic NPPES

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

MAQUOKETA FAMILY CLINIC (NPI 1407845175) is a healthcare organization registered as a family medicine in Maquoketa, Iowa and active in the NPI registry since October 2005. The organization holds an CLIA Accreditation certificate valid through December 22, 2027 and lists Sarah Taylor, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1407845175
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMAQUOKETA FAMILY CLINIC
Location Address206 N ARCADE STMaquoketa, IA 52060-2022
Mailing Address206 N Arcade StMaquoketa, IA 52060-2022 · (563) 652-6711 · Fax (563) 652-6715
Fax(563) 652-6715
Organization SubpartNo
Authorized OfficialSarah TaylorOffice Manager · (563) 652-6711
Enumeration DateOctober 17, 2005
Last NPPES UpdateSeptember 2, 20222 updates tracked since enumeration
NPPES CertifiedAugust 8, 2022
✔ NPI 1407845175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
206 N ARCADE ST, Maquoketa, IA 52060

Other Identifiers 2

Medicaid1659360816IA
Medicaid1750370011IA

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Maquoketa Family Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1124560206
206 N ARCADE ST
Maquoketa, IA 52060
(563) 652-6711
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1609433796
206 N ARCADE ST
Maquoketa, IA 52060
(563) 652-6711
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1659360816
206 NORTH ARCADE
Maquoketa, IA 52060
(563) 652-6711
✔ PECOS✔ Accepts Medicare9.4 mi
Family Practice
NPI 1750370011
206 NORTH ARCADE
Maquoketa, IA 52060
(563) 652-6711
✔ PECOS✔ Accepts Medicare9.4 mi
Nurse Practitioner
NPI 1710211594
1601 NW 114TH ST STE 247
Clive, IA 50325
(515) 222-7000
✔ PECOS✔ Accepts Medicare163 mi
Nurse Practitioner
NPI 1053544585
444 N WEST VIEW DR
Osceola, IA 50213
(337) 991-9276
✔ PECOS✔ Accepts Medicare176 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 Accreditation 16D0386261

Maquoketa Family Clinic · Maquoketa, IA
Active · expires Dec 22, 2027
CLIA Number16D0386261
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorDr. Bradley Waller
Laboratory Phone(563) 652-6711
Laboratory LocationMaquoketa Family Clinic206 North Arcade, Maquoketa, IA 52060
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Maquoketa Family Clinic's NPI number?

The NPI number for Maquoketa Family Clinic is 1407845175. It was assigned to this organization in the NPPES registry on October 17, 2005.

Where is Maquoketa Family Clinic located?

Maquoketa Family Clinic is located at 206 N Arcade St, Maquoketa, IA 52060. The listed phone number is (563) 652-6711.

What is Maquoketa Family Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Maquoketa Family Clinic enrolled in Medicare?

Yes. Maquoketa Family Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Maquoketa Family Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Maquoketa Family Clinic. 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 Family Practice (3) and Nurse Practitioner (3). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Maquoketa Family Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 16D0386261) is associated with this NPI, valid through December 22, 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 Maquoketa Family Clinic was last updated on September 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.