OTTUMWA PRIMARY CARE CLINIC
NPI 1639861990
Clinic/Center - Rural Health in Ottumwa, IA
About Ottumwa Primary Care Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OTTUMWA PRIMARY CARE CLINIC (NPI 1639861990) is a healthcare organization registered as a rural health in Ottumwa, Iowa and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through September 13, 2028 and lists Charlotte Lawrence, Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Ottumwa Primary Care Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
86Medicare enrollment records show 86 clinicians reassign Medicare billing to Ottumwa Primary Care Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 24 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 18
Nearest to this location (20)
See all 86Source: 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 of Waiver 16D2046963
Ottumwa Health Group, LLC Dba Ottumwa Primary Care · Ottumwa, IAFrequently 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 Ottumwa Health Group LLC's NPI number?
The NPI number for Ottumwa Health Group LLC is 1639861990. It was assigned to this organization in the NPPES registry on May 24, 2023. The provider is doing business as Ottumwa Primary Care Clinic.
Where is Ottumwa Health Group LLC located?
Ottumwa Health Group LLC is located at 1009 Pennsylvania Ave, Ottumwa, IA 52501. The listed phone number is (641) 683-6868.
What is Ottumwa Health Group LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Ottumwa Health Group LLC enrolled in Medicare?
Yes. Ottumwa Health Group LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ottumwa Health Group LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 86 clinicians in 18 Medicare specialties reassign their Medicare billing to Ottumwa Health Group LLC. 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 (38), General Surgery (11) and Obstetrics/Gynecology (6). Of these, 1 practice at this address and 24 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Ottumwa Health Group LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 16D2046963) is associated with this NPI, valid through September 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Ottumwa Health Group LLC accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Ottumwa Health Group LLC 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 Ottumwa Health Group LLC was last updated on September 26, 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.
# Ottumwa Primary Care Clinic · NPI 1639861990
Rural Health organization in Ottumwa, Iowa. Organization record, active in the CMS NPPES registry since May 24, 2023.
## Identity
- **NPI:** 1639861990 (Entity type: Organization)
- **Enumerated:** May 24, 2023
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Ottumwa Health Group Llc
- **Organization subpart:** No
- **Authorized official:** Charlotte Lawrence, SECRETARY
## Practice location
- **Address:** 1009 PENNSYLVANIA AVE, Ottumwa, IA 52501-2108
- **Phone:** (641) 683-6868 · **Fax:** (641) 683-6869
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 86 clinicians in 18 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (38), General Surgery (11), Obstetrics/Gynecology (6); 1 practice at this address and 24 within 10 miles; [full list](https://npiprofile.com/npi/1639861990/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 26, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1639861990) · Data from the CMS NPPES public registry.