ATHENA INTEGRATED CARE PLLC
NPI 1508582289
Nurse Practitioner - Psychiatric/Mental Health in Council Bluffs, IA

Active since October 14, 2022
300 W BROADWAY STE 240, COUNCIL BLUFFS, IA 51503(712) 266-3577(712) 336-8541 Get Directions Write a Review

NPPES record last updated: October 14, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Athena Integrated Care Pllc NPPES

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

ATHENA INTEGRATED CARE PLLC (NPI 1508582289), doing business as Athena Integrated Behavioral Health, is a healthcare organization registered as a psychiatric/mental health in Council Bluffs, Iowa and active in the NPI registry since October 2022. The organization lists Athena Clare Fertig, President/treasurer, as its authorized official.

NPPES Registry Identity

NPI1508582289
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameATHENA INTEGRATED CARE PLLC
Location Address300 W BROADWAY STE 240Council Bluffs, IA 51503-9028
Mailing Address300 W Broadway Ste 240Council Bluffs, IA 51503-9028 · (712) 266-3577 · Fax (712) 336-8541
Fax(712) 336-8541
Organization SubpartNo
Authorized OfficialAthena Clare FertigPresident/treasurer · (712) 266-3577
Enumeration DateOctober 14, 2022
NPPES CertifiedOctober 14, 2022
✔ NPI 1508582289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
300 W BROADWAY STE 240, Council Bluffs, IA 51503

Other Names 1

Doing Business AsAthena Integrated Behavioral Health

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Athena Integrated Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Athena Integrated Care PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1093028805
300 W BROADWAY STE 240
Council Bluffs, IA 51503
(712) 266-3577
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1992381487
7710 MERCY RD
Omaha, NE 68124
(402) 343-8650
✔ PECOS✔ Accepts Medicare9.7 mi
Nurse Practitioner
NPI 1679813976
600 4TH ST SUITE 501
Sioux City, IA 51101
(712) 234-0220
✔ PECOS✔ Accepts Medicare90 mi
Nurse Practitioner
NPI 1760990121
2727 W 2ND ST STE 223
Hastings, NE 68901
(402) 984-0571
✔ PECOS142 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Athena Integrated Care PLLC's NPI number?

The NPI number for Athena Integrated Care PLLC is 1508582289. It was assigned to this organization in the NPPES registry on October 14, 2022. The provider is doing business as Athena Integrated Behavioral Health.

Where is Athena Integrated Care PLLC located?

Athena Integrated Care PLLC is located at 300 W Broadway Ste 240, Council Bluffs, IA 51503. The listed phone number is (712) 266-3577.

What is Athena Integrated Care PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Athena Integrated Care PLLC enrolled in Medicare?

Yes. Athena Integrated Care PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Athena Integrated Care PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Athena Integrated Care 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Athena Integrated Care PLLC accept?

Health plans from Blue Cross and Blue Shield of Nebraska list Athena Integrated Care PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Athena Integrated Care PLLC was last updated on October 14, 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.