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CRESCENT COMMUNITY HEALTH CENTER
NPI 1720146319
Clinic/Center - Federally Qualified Health Center (FQHC) in Dubuque, IA

Active since December 05, 2006CLIA 16D1054441 · Microscopy
1690 ELM ST STE 300, DUBUQUE, IA 52001(563) 690-0321(563) 557-8488 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 9, 2025, May 28, 2025, Aug 10, 2023 and 2 more (5 updates tracked since 2020).

About Crescent Community Health Center NPPES

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

CRESCENT COMMUNITY HEALTH CENTER (NPI 1720146319), doing business as Tri State Community Health Center, is a healthcare organization registered as a federally qualified health center (fqhc) in Dubuque, Iowa and active in the NPI registry since December 2006. The organization holds a CLIA Microscopy certificate valid through March 17, 2028 and lists Chad Wolbers, Ceo, as its authorized official.

NPPES Registry Identity

NPI1720146319
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCRESCENT COMMUNITY HEALTH CENTER
Location Address1690 ELM ST STE 300Dubuque, IA 52001-3679
Mailing Address1690 Elm St Ste 300Dubuque, IA 52001-3679 · (563) 690-2850 · Fax (563) 239-9149
Phone(563) 690-0321
Fax(563) 557-8488
Organization SubpartNo
Authorized OfficialChad WolbersCeo · (563) 690-2862
Enumeration DateDecember 5, 2006
Last NPPES UpdateJuly 9, 20255 updates tracked since enumeration
NPPES CertifiedJuly 9, 2025
✔ NPI 1720146319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedDentistTaxonomy 122300000X · License 08349 (IA)
Also ListedFamily MedicineTaxonomy 207Q00000X · License A100692 (IA)
1690 ELM ST STE 300, Dubuque, IA 52001
Open in Google Maps ↗

Other Names 1

Former Legal Business NameTri State Community Health Center

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.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)

Crescent Community Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

30

Medicare enrollment records show 30 clinicians reassign Medicare billing to Crescent Community Health Center, which bills Medicare for the services they deliver. Of these, 15 practice at this address and 19 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 11

Dentist7
Nurse Practitioner5
Optometry5
Family Practice4
Clinical Social Worker2
Mental Health Counselor2
Dermatology1
Internal Medicine1
3 other specialties3

Nearest to this location (20)

See all 30
Ashley Biedermann, FNP
Nurse Practitioner
NPI 1295211761
1690 ELM ST STE 300
Dubuque, IA 52001
(563) 690-2850
✔ PECOSSame address
Jon Decker
Mental Health Counselor
NPI 1881016137
1690 ELM ST STE 300
Dubuque, IA 52001
(563) 690-2403
✔ PECOSSame address
Caitlyn Hicks, DNP, FNP-BC
Nurse Practitioner
NPI 1093290165
1690 ELM ST STE 300
Dubuque, IA 52001
(563) 690-2850
✔ PECOSSame address
Heather Kruse, M.D.
Family Practice
NPI 1396181012
1690 ELM ST STE 300
Dubuque, IA 52001
(563) 690-2850
✔ PECOSSame address
Ursula Livermore, M.D
Family Practice
NPI 1376501429
1690 ELM ST STE 300
Dubuque, IA 52001
(563) 690-2850
✔ PECOSSame address
Gabriela Parra Arenas, DMD
Dentist
NPI 1295571057
1690 ELM ST STE 300
Dubuque, IA 52001
(563) 690-0321
✔ PECOSSame address
Rachael Ploessl, DNP, FNP-BC
Nurse Practitioner
NPI 1114544681
1690 ELM ST STE 300
Dubuque, IA 52001
(563) 690-2850
✔ PECOSSame address
Amanda Renne
Nurse Practitioner
NPI 1942857529
1690 ELM ST STE 300
Dubuque, IA 52001
(563) 690-2850
✔ PECOSSame address
Karissa Sanchez Traun, MD
Family Practice
NPI 1558896621
1690 ELM ST STE 300
Dubuque, IA 52001
(563) 690-2850
✔ PECOSSame address
Benjamin Shaw, L.I.S.W.
Clinical Social Worker
NPI 1124400510
1690 ELM ST STE 300
Dubuque, IA 52001
(563) 690-2850
✔ PECOSSame address
Kiresten Theill, SOCIAL WORKER
Clinical Social Worker
NPI 1578143798
1690 ELM ST STE 300
Dubuque, IA 52001
(563) 690-2850
✔ PECOSSame address
Tracy Tschudi, ARNP
Nurse Practitioner
NPI 1790013209
1690 ELM ST STE 300
Dubuque, IA 52001
(563) 690-2850
✔ PECOSSame address
Shiqi Wang, DMD
Dentist
NPI 1174256028
1690 ELM ST STE 300
Dubuque, IA 52001
(563) 690-2850
✔ PECOSSame address
George Anastassov, DDS,MD
Dentist
NPI 1174564322
1690 ELM ST STE 300
Dubuque, IA 52001
(563) 690-0321
✔ PECOSSame address
Saranya Murukutla
Dentist
NPI 1205756608
1690 ELM ST
Dubuque, IA 52001
(563) 690-2850
✔ PECOSSame address
James Livermore, MD
Pediatric Medicine
NPI 1497846679
1789 ELM ST SUITE A
Dubuque, IA 52001
(563) 690-2860
✔ PECOS0.1 mi
Regan Wolbers, MD
Internal Medicine
NPI 1538146634
1515 DELHI ST SUITE 100
Dubuque, IA 52001
(563) 557-9111
✔ PECOS1.4 mi
Valerie Peckosh, DMD
Dentist
NPI 1346259744
3455 STONEMAN RD
Dubuque, IA 52002
(563) 582-1478
✔ PECOS3.1 mi
Emily Weig, MD
Dermatology
NPI 1992365894
1500 ASSOCIATES DR
Dubuque, IA 52002
(563) 584-4425
✔ PECOS3.8 mi
Brandon Bourgeous, MD
Obstetrics/Gynecology
NPI 1669476602
788 8TH AVE SE SUITE 100
Cedar Rapids, IA 52401
(319) 363-2682
✔ PECOS63 mi
See all 30 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) 16D1054441

Crescent Community Health Center · Dubuque, IA
Active · expires Mar 17, 2028
CLIA Number16D1054441
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMarch 18, 2026
Certificate Expiration DateMarch 17, 2028
Laboratory DirectorUrsula Livermore
Laboratory Phone(563) 690-2850
Laboratory LocationCrescent Community Health Center1690 Elm Street, Suite 300, Dubuque, IA 52001
CLIA data matches this NPI record on: Address Name Phone
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 Crescent Community Health Center's NPI number?

The NPI number for Crescent Community Health Center is 1720146319. It was assigned to this organization in the NPPES registry on December 5, 2006. The provider was formerly known as Tri State Community Health Center.

Where is Crescent Community Health Center located?

Crescent Community Health Center is located at 1690 Elm St Ste 300, Dubuque, IA 52001. The listed phone number is (563) 690-0321.

What is Crescent Community Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Crescent Community Health Center enrolled in Medicare?

Yes. Crescent Community Health Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Crescent Community Health Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 30 clinicians in 11 Medicare specialties reassign their Medicare billing to Crescent Community Health 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 Dentist (7), Nurse Practitioner (5) and Optometry (5). Of these, 15 practice at this address and 19 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Crescent Community Health Center hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 16D1054441) is associated with this NPI, valid through March 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Crescent Community Health Center accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Insurance Company and 1 other insurer list Crescent Community Health Center 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 Crescent Community Health Center was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.