MADRID FAMILY PRACTICE CLINIC
NPI 1508882705
Nurse Practitioner - Family in Madrid, IA

Active since July 14, 2006CLIA 16D1022390 · Microscopy
623 W NORTH ST, MADRID, IA 50156(515) 795-4300(515) 433-8905 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 10, 2023, Mar 9, 2023, Oct 13, 2022 and 2 more (5 updates tracked since 2016).

About Madrid Family Practice Clinic NPPES

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

MADRID FAMILY PRACTICE CLINIC (NPI 1508882705) is a healthcare organization registered as a family in Madrid, Iowa and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through June 30, 2028 and lists Mikaela Kienitz, Ceo, as its authorized official.

NPPES Registry Identity

NPI1508882705
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMADRID FAMILY PRACTICE CLINIC
Location Address623 W NORTH STMadrid, IA 50156-1023
Mailing Address623 W North StMadrid, IA 50156-1023 · (515) 795-4300 · Fax (515) 433-8905
Fax(515) 433-8905
Organization SubpartNo
Authorized OfficialMikaela KienitzCeo · (515) 432-3140
Enumeration DateJuly 14, 2006
Last NPPES UpdateJuly 1, 20265 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
✔ NPI 1508882705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
623 W NORTH ST, Madrid, IA 50156

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)

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

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Madrid Family Practice Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (9)

Nurse Practitioner
NPI 1780041178
623 W NORTH STREET
Madrid, IA 50156
(515) 795-4300
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1497528491
320 W WALNUT STREET
Ogden, IA 50212
(515) 275-2417
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1720618788
623 W NORTH STREET
Madrid, IA 50156
(515) 795-4300
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1861227860
106 W WASHINGTON ST STE 2
Jefferson, IA 50129
(515) 386-4192
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1649886029
120 SOUTH STORY STREET
Boone, IA 50036
(515) 433-8585
✔ PECOS19 mi
Family Practice
NPI 1710955877
1115 S MARSHALL ST
Boone, IA 50036
(515) 432-2335
✔ PECOS✔ Accepts Medicare19 mi
Certified Nurse Midwife (CNM)
NPI 1346525714
3510 LINCOLN WAY
Ames, IA 50014
(515) 232-0628
✔ PECOS✔ Accepts Medicare26 mi
Nurse Practitioner
NPI 1205503075
701 N C ST
Indianola, IA 50125
(515) 745-2872
✔ PECOS41 mi
Nurse Practitioner
NPI 1659014769
313 LANEDALE # 7464
Rockwell City, IA 50579
(712) 297-7521
✔ PECOS✔ Accepts Medicare46 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 for Provider-Performed Microscopy Procedures (PPMP) 16D1022390

Madrid Family Practice Clinic · Madrid, IA
Active · expires Jun 30, 2028
CLIA Number16D1022390
Laboratory TypeRural Health Clinic
Certificate Effective DateJuly 1, 2026
Certificate Expiration DateJune 30, 2028
Laboratory DirectorEric M. Peterson
Laboratory Phone(515) 795-4300
Laboratory LocationMadrid Family Practice Clinic623 W North Street, Madrid, IA 50156
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Madrid Family Practice Clinic's NPI number?

The NPI number for Madrid Family Practice Clinic is 1508882705. It was assigned to this organization in the NPPES registry on July 14, 2006.

Where is Madrid Family Practice Clinic located?

Madrid Family Practice Clinic is located at 623 W North St, Madrid, IA 50156. The listed phone number is (515) 795-4300.

What is Madrid Family Practice Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Madrid Family Practice Clinic enrolled in Medicare?

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

How many clinicians bill Medicare through Madrid Family Practice Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Madrid Family Practice 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 Nurse Practitioner (7), Certified Nurse Midwife (CNM) (1) and Family Practice (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Madrid Family Practice Clinic hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 16D1022390) is associated with this NPI, valid through June 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Madrid Family Practice Clinic accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Madrid Family Practice Clinic 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 Madrid Family Practice Clinic was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.