MIDWEST MEDICAL FAMILY PRACTICE AND MENTAL HEALTH LLC
NPI 1700475902
Nurse Practitioner in Humboldt, IA

Q: What is Midwest Medical Family Practice And Mental Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since January 12, 2021CLIA 16D2220013 · Waiver

1524 10TH AVE N, HUMBOLDT, IA 50548(515) 890-0156(515) 332-8811 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Midwest Medical Family Practice And Mental Health Llc NPPES

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

MIDWEST MEDICAL FAMILY PRACTICE AND MENTAL HEALTH LLC (NPI 1700475902) is a healthcare organization registered as a nurse practitioner in Humboldt, Iowa and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through April 7, 2027 and lists Jennifer Vought, Owner, as its authorized official.

NPPES Registry Identity

NPI1700475902

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameMIDWEST MEDICAL FAMILY PRACTICE AND MENTAL HEALTH LLC

Location Address1524 10TH AVE NHumboldt, IA 50548-1070

Mailing Address1524 10th Ave NHumboldt, IA 50548-1070 · (515) 890-0156

Phone(515) 890-0156

Fax(515) 332-8811

Organization SubpartNo

Authorized OfficialJennifer VoughtOwner · (515) 890-0156

Enumeration DateJanuary 12, 2021

NPPES CertifiedJanuary 12, 2021

✔ NPI 1700475902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1524 10TH AVE N, Humboldt, IA 50548

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE 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)

Midwest Medical Family Practice And Mental Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Midwest Medical Family Practice And Mental Health LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jennifer Vought, ARNP

Nurse Practitioner

NPI 1598284796

1524 10TH AVE N
Humboldt, IA 50548

(515) 890-0156

✔ PECOS✔ Accepts MedicareSame address

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 16D2220013

Midwest Medical Family Practice And Mental Health LLC · Humboldt, IA

Active · expires Apr 7, 2027

CLIA Number16D2220013

Laboratory TypePractitioner Other

Certificate Effective DateApril 8, 2025

Certificate Expiration DateApril 7, 2027

Laboratory DirectorJennifer Vought

Laboratory Phone(515) 332-8808

Laboratory LocationMidwest Medical Family Practice And Mental Health LLC1524 10th Avenue N, Humboldt, IA 50548

CLIA data matches this NPI record on: Address Name

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 Midwest Medical Family Practice And Mental Health LLC's NPI number?

The NPI number for Midwest Medical Family Practice And Mental Health LLC is 1700475902. It was assigned to this organization in the NPPES registry on January 12, 2021.

Where is Midwest Medical Family Practice And Mental Health LLC located?

Midwest Medical Family Practice And Mental Health LLC is located at 1524 10th Ave N, Humboldt, IA 50548. The listed phone number is (515) 890-0156.

What is Midwest Medical Family Practice And Mental Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Midwest Medical Family Practice And Mental Health LLC enrolled in Medicare?

Yes. Midwest Medical Family Practice And Mental Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Midwest Medical Family Practice And Mental Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Midwest Medical Family Practice And Mental Health 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Midwest Medical Family Practice And Mental Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2220013) is associated with this NPI, valid through April 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Midwest Medical Family Practice And Mental Health LLC was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.