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DEWITT FAMILY PRACTICE, PLLC
NPI 1659142271
Family Medicine in De Witt, IA

Active since January 11, 2024CLIA 16D2299810 · Waiver
2422 12TH STREET CT, DE WITT, IA 52742(563) 659-6090(866) 493-4063 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dewitt Family Practice, Pllc NPPES

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

DEWITT FAMILY PRACTICE, PLLC (NPI 1659142271) is a healthcare organization registered as a family medicine in De Witt, Iowa and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through February 26, 2028 and lists Michael Cloos, Owner, as its authorized official.

NPPES Registry Identity

NPI1659142271
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDEWITT FAMILY PRACTICE, PLLC
Location Address2422 12TH STREET CTDe Witt, IA 52742-1225
Mailing Address2422 12th Street CtDe Witt, IA 52742-1225 · (563) 659-6090 · Fax (866) 493-4063
Phone(563) 659-6090
Fax(866) 493-4063
Organization SubpartNo
Authorized OfficialMichael CloosOwner · (563) 726-3724
Enumeration DateJanuary 11, 2024
Last NPPES UpdateSeptember 30, 2025
NPPES CertifiedSeptember 30, 2025
✔ NPI 1659142271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2422 12TH STREET CT, De Witt, IA 52742
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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)

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

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Dewitt Family Practice, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nancy Robertson, APRN
Nurse Practitioner
NPI 1265104707
2422 12TH STREET CT
De Witt, IA 52742
(563) 659-6090
✔ PECOS✔ Accepts MedicareSame address
Michael Cloos, D.O.
Family Practice
NPI 1750761383
1415 11TH ST STE C
De Witt, IA 52742
(563) 659-6090
✔ PECOS✔ Accepts Medicare0.8 mi
Carla Cloos, M.D.
Family Practice
NPI 1649439175
301 N 4TH AVE
Eldridge, IA 52748
(563) 421-9900
✔ PECOS✔ Accepts Medicare12 mi
Hannah Root, FNP
Nurse Practitioner
NPI 1356289326
2422 12TH STREET CT
De Witt, IA 52742
(563) 659-6090
✔ PECOS✔ Accepts Medicare19 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 of Waiver 16D2299810

Dewitt Family Practice PLLC · Dewitt, IA
Active · expires Feb 26, 2028
CLIA Number16D2299810
Laboratory TypePhysician Office
Certificate Effective DateFebruary 27, 2026
Certificate Expiration DateFebruary 26, 2028
Laboratory DirectorMichael P. Cloos
Laboratory Phone(563) 659-6090
Laboratory LocationDewitt Family Practice PLLC2422 12th St Ct, Dewitt, IA 52742
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only 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 Dewitt Family Practice, PLLC's NPI number?

The NPI number for Dewitt Family Practice, PLLC is 1659142271. It was assigned to this organization in the NPPES registry on January 11, 2024.

Where is Dewitt Family Practice, PLLC located?

Dewitt Family Practice, PLLC is located at 2422 12th Street Ct, De Witt, IA 52742. The listed phone number is (563) 659-6090.

What is Dewitt Family Practice, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dewitt Family Practice, PLLC enrolled in Medicare?

Yes. Dewitt Family Practice, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dewitt Family Practice, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Dewitt Family Practice, PLLC, in Family Practice and Nurse Practitioner. 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 and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dewitt Family Practice, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2299810) is associated with this NPI, valid through February 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dewitt Family Practice, PLLC was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.