STORM LAKE MEDICAL, P.C.
NPI 1457898801
Nurse Practitioner in Storm Lake, IA

NPI Status: Active since January 24, 2017

Contact Information

801 HUDSON ST
STORM LAKE, IA
ZIP 50588
Phone: (712) 213-3349
Fax: (712) 732-5493

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  • Organization
  • Nurse Practitioner
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About STORM LAKE MEDICAL, P.C.

This page provides the complete NPI Profile along with additional information for Storm Lake Medical, P.c., a provider established in Storm Lake, Iowa operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1457898801 assigned on January 2017. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Storm Lake Medical, P.c. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Timothy W Redenbaugh D.c. (Owner)

NPI
1457898801
Provider Name
STORM LAKE MEDICAL, P.C.
Entity Type
Organization
Location Address
801 HUDSON ST STORM LAKE, IA 50588
Location Phone
(712) 213-3349
Location Fax
(712) 732-5493
Mailing Address
801 HUDSON ST STORM LAKE, IA 50588
Mailing Phone
(712) 213-3349
Mailing Fax
(712) 732-5493
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-24-2017
Last Update Date
04-30-2022
Code Navigator

A nurse practitioner (NP) like Storm Lake Medical, P.c. is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Storm Lake Medical, P.c. is a medicare supplier with PTAN 20457509 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Contracture Treatment Devices: Dynamic Splint or Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. TIMOTHY W REDENBAUGH D.C.

Authorized Official Title
OWNER
Authorized Official Phone
(712) 732-3349

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20457509
Accepts Medicare Assignment
YES
Provider Type List
NURSE PRACTITIONER.
Competitive Bidding
NO

Supplies List

  • Contracture Treatment Devices: Dynamic Splint - Dynamic splinting devices for the knee, elbow, wrist, finger, or toe
  • Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
  • Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1457898801, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
7
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
9
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 8 → 16 → 7 8 → 16 → 7 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 0 + 7 + 1 + 6 + 9 + 1 + 6 + 8 + 0 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1457898801.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457898801, enumerated as an "organization" on January 24, 2017.

The provider is located at 801 HUDSON ST STORM LAKE, IA 50588 and the phone number is (712) 213-3349.

Nurse Practitioner with taxonomy code 363L00000X.