SHENANDOAH PHYSICIANS CLINIC
NPI 1700941648
Clinic/Center - Rural Health in Sidney, IA

Active since December 22, 2006CLIA 16D1028330 · Microscopy
802 ILLINOIS ST, SIDNEY, IA 51652(712) 374-6005(712) 374-2301 Get Directions Write a Review

NPPES record last updated: October 25, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shenandoah Physicians Clinic NPPES

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

SHENANDOAH PHYSICIANS CLINIC (NPI 1700941648) is a healthcare organization registered as a rural health in Sidney, Iowa and active in the NPI registry since December 2006. The organization holds a CLIA Microscopy certificate valid through July 21, 2028 and lists Karen Cole, Ceo, as its authorized official.

NPPES Registry Identity

NPI1700941648
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSHENANDOAH MEDICAL CENTER
Location Address802 ILLINOIS STSidney, IA 51652-0217
Mailing Address802 Illinois StreetSidney, IA 51652-0217 · (712) 374-6005 · Fax (712) 374-3100
Fax(712) 374-2301
Organization SubpartNo
Authorized OfficialKaren ColeCeo · (712) 246-1230
Enumeration DateDecember 22, 2006
Last NPPES UpdateOctober 25, 2012
✔ NPI 1700941648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in IA · 730065H
802 ILLINOIS ST, Sidney, IA 51652

Other Names 1

Doing Business AsShenandoah Physicians Clinic

Other Identifiers 1

Medicare ID-Type UnspecifiedI12503IA · Medicare Provider Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shenandoah Physicians Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

91

Medicare enrollment records show 91 clinicians reassign Medicare billing to Shenandoah Physicians Clinic, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 22

Nurse Practitioner37
Family Practice10
Certified Registered Nurse Anesthetist (CRNA)8
Emergency Medicine8
Orthopedic Surgery6
Obstetrics/Gynecology3
Clinical Social Worker2
Hematology/Oncology2
14 other specialties15

Nearest to this location (20)

See all 91
Nurse Practitioner
NPI 1003102187
1219 MAIN ST
Hamburg, IA 51640
(712) 382-2626
✔ PECOS9.8 mi
Nurse Practitioner
NPI 1730697681
400 MAIN ST
Tabor, IA 51653
(712) 246-7245
✔ PECOS✔ Accepts Medicare10.0 mi
Nurse Practitioner
NPI 1134904287
300 PERSHING AVE
Shenandoah, IA 51601
(712) 246-7400
✔ PECOS✔ Accepts Medicare15 mi
Emergency Medicine
NPI 1669565461
300 PERSHING AVE
Shenandoah, IA 51601
(712) 374-6005
✔ PECOS15 mi
Internal Medicine
NPI 1275275513
300 PERSHING AVE
Shenandoah, IA 51601
(580) 458-1948
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1952914566
300 PERSHING AVE
Shenandoah, IA 51601
(712) 246-1230
✔ PECOS✔ Accepts Medicare15 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1861803942
300 PERSHING AVE
Shenandoah, IA 51601
(712) 246-1230
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1558483784
300 PERSHING AVE
Shenandoah, IA 51601
(712) 246-1230
✔ PECOS15 mi
Nurse Practitioner
NPI 1528474889
300 PERSHING AVE
Shenandoah, IA 51601
(712) 246-7400
✔ PECOS✔ Accepts Medicare15 mi
Obstetrics/Gynecology
NPI 1487766309
300 PERSHING AVENUE
Shenandoah, IA 51601
(712) 246-7405
✔ PECOS15 mi
Podiatry
NPI 1043915648
300 PERSHING AVE
Shenandoah, IA 51601
(712) 246-7400
✔ PECOS✔ Accepts Medicare15 mi
Obstetrics/Gynecology
NPI 1487654695
300 PERSHING AVE
Shenandoah, IA 51601
(712) 246-1230
✔ PECOS✔ Accepts Medicare15 mi
Family Practice
NPI 1710917026
1 JACK FOSTER DR
Shenandoah, IA 51601
(712) 246-7400
✔ PECOS✔ Accepts Medicare15 mi
Mental Health Counselor
NPI 1285050047
1 JACK FOSTER DR
Shenandoah, IA 51601
(712) 246-4627
✔ PECOS✔ Accepts Medicare15 mi
Family Practice
NPI 1518055847
1 JACK FOSTER DR
Shenandoah, IA 51601
(712) 246-7400
✔ PECOS15 mi
Family Practice
NPI 1003027939
1 JACK FOSTER DR
Shenandoah, IA 51601
(712) 246-7400
✔ PECOS✔ Accepts Medicare15 mi
Obstetrics/Gynecology
NPI 1245404086
1 JACK FOSTER DR
Shenandoah, IA 51601
(712) 246-7054
✔ PECOS✔ Accepts Medicare15 mi
General Surgery
NPI 1609015577
1 JACK FOSTER DR
Shenandoah, IA 51601
(712) 246-7485
✔ PECOS✔ Accepts Medicare15 mi
Orthopedic Surgery
NPI 1821059510
1 JACK FOSTER DR
Shenandoah, IA 51601
(712) 246-7400
✔ PECOS✔ Accepts Medicare15 mi
Pediatric Medicine
NPI 1730172040
1 JACK FOSTER DR
Shenandoah, IA 51601
(712) 246-7400
✔ PECOS15 mi
See all 91 clinicians

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 for Provider-Performed Microscopy Procedures (PPMP) 16D1028330

Shenandoah Physician's Clinic-Sidney · Sidney, IA
Active · expires Jul 21, 2028
CLIA Number16D1028330
Laboratory TypeRural Health Clinic
Certificate Effective DateJuly 22, 2026
Certificate Expiration DateJuly 21, 2028
Laboratory DirectorKrista Wilson
Laboratory Phone(712) 246-7245
Laboratory LocationShenandoah Physician's Clinic-Sidney802 Illinois Street, Sidney, IA 51652
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Shenandoah Medical Center's NPI number?

The NPI number for Shenandoah Medical Center is 1700941648. It was assigned to this organization in the NPPES registry on December 22, 2006. The provider is doing business as Shenandoah Physicians Clinic.

Where is Shenandoah Medical Center located?

Shenandoah Medical Center is located at 802 Illinois St, Sidney, IA 51652. The listed phone number is (712) 374-6005.

What is Shenandoah Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Shenandoah Medical Center enrolled in Medicare?

Yes. Shenandoah Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shenandoah Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 91 clinicians in 22 Medicare specialties reassign their Medicare billing to Shenandoah Medical Center. 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 (37), Family Practice (10) and Certified Registered Nurse Anesthetist (CRNA) (8). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Shenandoah Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 16D1028330) is associated with this NPI, valid through July 21, 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 Shenandoah Medical Center was last updated on October 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.