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

Q: What is Storm Lake Medical, P.C.'s NPI number?

The NPI number for Storm Lake Medical, P.C. is 1457898801. It was assigned to this organization in the NPPES registry on January 24, 2017.

Q: What is Storm Lake Medical, P.C.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since January 24, 2017

801 HUDSON ST, STORM LAKE, IA 50588(712) 213-3349(712) 732-5493 Get Directions Write a Review

NPPES record last updated: April 30, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 30, 2022, Mar 2, 2022, Dec 12, 2017 and 1 more (4 updates tracked since 2017).

On this page

About Storm Lake Medical, P.c. NPPES

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

STORM LAKE MEDICAL, P.C. (NPI 1457898801) is a healthcare organization registered as a nurse practitioner in Storm Lake, Iowa and active in the NPI registry since January 2017. The organization lists Timothy W Redenbaugh, Owner, as its authorized official.

NPPES Registry Identity

NPI1457898801

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameSTORM LAKE MEDICAL, P.C.

Location Address801 HUDSON STStorm Lake, IA 50588-2213

Mailing Address801 Hudson StStorm Lake, IA 50588-2213 · (712) 213-3349 · Fax (712) 732-5493

Phone(712) 213-3349

Fax(712) 732-5493

Organization SubpartNo

Authorized OfficialTimothy W RedenbaughOwner · (712) 732-3349

Enumeration DateJanuary 24, 2017

Last NPPES UpdateApril 30, 20224 updates tracked since enumeration

NPPES CertifiedApril 30, 2022

✔ NPI 1457898801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(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.

801 HUDSON ST, Storm Lake, IA 50588

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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

Medical Equipment Supplier Medicare DMEPOS 4

Medicare supplier enrollment and the product categories Storm Lake Medical carries, from the Medicare DMEPOS supplier directory.

Storm Lake Medical

DMEPOS supplier · Storm Lake, IAOperated by Storm Lake Medical PC

✔

Accepts Medicare assignment

Storm Lake Medical 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)20457509

Medicare Participant SinceDecember 11, 2017

Supplier Location801 Hudson StStorm Lake, IA 50588

Phone(712) 213-3349

Provider TypeNurse Practitioner

Medicare Product Categories

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

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 Storm Lake Medical, P.C.'s NPI number?

The NPI number for Storm Lake Medical, P.C. is 1457898801. It was assigned to this organization in the NPPES registry on January 24, 2017.

Where is Storm Lake Medical, P.C. located?

Storm Lake Medical, P.C. is located at 801 Hudson St, Storm Lake, IA 50588. The listed phone number is (712) 213-3349.

What is Storm Lake Medical, P.C.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Storm Lake Medical, P.C. accept Medicare assignment for medical equipment?

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

When was this NPI record last updated?

The NPPES record for Storm Lake Medical, P.C. was last updated on April 30, 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.