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

Active since July 14, 2006CLIA 16D1022390 · Waiver
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: July 26, 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 Waiver certificate valid through February 15, 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

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 Waiver 16D1022390

Madrid Family Practice Clinic · Madrid, IA
Active · expires Feb 15, 2028
CLIA Number16D1022390
Laboratory TypeRural Health Clinic
Certificate Effective DateFebruary 16, 2026
Certificate Expiration DateFebruary 15, 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 to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
623 W NORTH ST
MADRID, IA 50156

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.

Does Madrid Family Practice Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D1022390) is associated with this NPI, valid through February 15, 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 Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer 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 33 days 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.