GRACE BREAST IMAGING & MEDICAL SPA PLLC
NPI 1568203487
Clinic/Center - Radiology in Clive, IA

Active since June 04, 2024
1250 NW 128TH ST STE 130, CLIVE, IA 50325(515) 505-3224 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Grace Breast Imaging & Medical Spa Pllc NPPES

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

GRACE BREAST IMAGING & MEDICAL SPA PLLC (NPI 1568203487) is a healthcare organization registered as a radiology in Clive, Iowa and active in the NPI registry since June 2024. The organization lists Andrea Lamphiear, Member, as its authorized official.

NPPES Registry Identity

NPI1568203487
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameGRACE BREAST IMAGING & MEDICAL SPA PLLC
Location Address1250 NW 128TH ST STE 130Clive, IA 50325-7433
Mailing Address1250 Nw 128th St Ste 130Clive, IA 50325-7433 · (515) 505-3224
Organization SubpartNo
Authorized OfficialAndrea LamphiearMember · (515) 505-3224
Enumeration DateJune 4, 2024
Last NPPES UpdateJune 5, 2024
NPPES CertifiedJune 5, 2024
✔ NPI 1568203487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
Also ListedClinic/Center · Radiology, MammographyTaxonomy 261QR0206X
1250 NW 128TH ST STE 130, Clive, IA 50325

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)

Grace Breast Imaging & Medical Spa Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Grace Breast Imaging & Medical Spa PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Diagnostic Radiology
NPI 1487813903
1250 NW 128TH ST STE 130
Clive, IA 50325
(515) 505-3224
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1982892220
933 E PIERCE ST
Council Bluffs, IA 51503
(402) 493-1212
✔ PECOS✔ Accepts Medicare108 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 Grace Breast Imaging & Medical Spa PLLC's NPI number?

The NPI number for Grace Breast Imaging & Medical Spa PLLC is 1568203487. It was assigned to this organization in the NPPES registry on June 4, 2024.

Where is Grace Breast Imaging & Medical Spa PLLC located?

Grace Breast Imaging & Medical Spa PLLC is located at 1250 NW 128th St Ste 130, Clive, IA 50325. The listed phone number is (515) 505-3224.

What is Grace Breast Imaging & Medical Spa PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

Is Grace Breast Imaging & Medical Spa PLLC enrolled in Medicare?

Yes. Grace Breast Imaging & Medical Spa PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grace Breast Imaging & Medical Spa PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to Grace Breast Imaging & Medical Spa 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.

What insurance does Grace Breast Imaging & Medical Spa PLLC accept?

Health plans from UnitedHealthcare list Grace Breast Imaging & Medical Spa 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 Grace Breast Imaging & Medical Spa PLLC was last updated on June 5, 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.