NCC PSYCHIATRIC SERVICES PLLC
NPI 1548736085
Nurse Practitioner - Psychiatric/Mental Health in Le Mars, IA

Active since October 23, 2018
16507 MAHOGANY AVE, LE MARS, IA 51031(712) 541-6620(855) 344-1082 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 11, 2024, May 25, 2022, Oct 23, 2018 (3 updates tracked since 2018).

About Ncc Psychiatric Services Pllc NPPES

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

NCC PSYCHIATRIC SERVICES PLLC (NPI 1548736085) is a healthcare organization registered as a psychiatric/mental health in Le Mars, Iowa and active in the NPI registry since October 2018. The organization maintains 2 additional practice locations and lists Nicole C Thomas, Owner, as its authorized official.

NPPES Registry Identity

NPI1548736085
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameNCC PSYCHIATRIC SERVICES PLLC
Location Address16507 MAHOGANY AVELe Mars, IA 51031-8761
Mailing AddressPo Box 509Le Mars, IA 51031-0509 · (712) 541-6620 · Fax (855) 344-1082
Fax(855) 344-1082
Organization SubpartNo
Authorized OfficialNicole C ThomasOwner · (712) 541-6620
Enumeration DateOctober 23, 2018
Last NPPES UpdateApril 11, 20243 updates tracked since enumeration
NPPES CertifiedApril 11, 2024
✔ NPI 1548736085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
16507 MAHOGANY AVE, Le Mars, IA 51031

Secondary Practice Locations 2

Location 1531 Commercial St Ste 700Waterloo, IA 50701-5443 · Phone (712) 541-6620
Location 2606 Forest StBeardsley, MN 56211-3078 · Phone (712) 541-6620

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ncc Psychiatric Services Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Ncc Psychiatric Services PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1134533599
16507 MAHOGANY AVE
Le Mars, IA 51031
(712) 541-6620
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1225538911
3201 1ST ST
Emmetsburg, IA 50536
(712) 852-5500
✔ PECOS✔ Accepts Medicare77 mi
Nurse Practitioner
NPI 1700366101
1600 1ST ST E
Independence, IA 50644
(319) 332-0999
✔ PECOS✔ Accepts Medicare219 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 Ncc Psychiatric Services PLLC's NPI number?

The NPI number for Ncc Psychiatric Services PLLC is 1548736085. It was assigned to this organization in the NPPES registry on October 23, 2018.

Where is Ncc Psychiatric Services PLLC located?

Ncc Psychiatric Services PLLC is located at 16507 Mahogany Ave, Le Mars, IA 51031. The listed phone number is (712) 541-6620.

What is Ncc Psychiatric Services PLLC's specialty?

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

Is Ncc Psychiatric Services PLLC enrolled in Medicare?

Yes. Ncc Psychiatric Services PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ncc Psychiatric Services PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Ncc Psychiatric Services 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ncc Psychiatric Services PLLC was last updated on April 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.