1. Home
  2. Directory
  3. Iowa
  4. Hubbard
  5. Nurse Practitioner
  6. NPI Profile

HUBBARD INTEGRATIVE FAMILY MEDICINE, PLLC
NPI 1821808338
Nurse Practitioner - Family in Hubbard, IA

Active since January 08, 2025CLIA 16D0382767 · Waiver
405 S STATE ST, HUBBARD, IA 50122(641) 864-3301(641) 864-3304 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Hubbard Integrative Family Medicine, Pllc NPPES

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

HUBBARD INTEGRATIVE FAMILY MEDICINE, PLLC (NPI 1821808338) is a healthcare organization registered as a family in Hubbard, Iowa and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through February 19, 2028 and lists Kendra Veld, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1821808338
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameHUBBARD INTEGRATIVE FAMILY MEDICINE, PLLC
Location Address405 S STATE STHubbard, IA 50122-9501
Mailing AddressPo Box 487Hubbard, IA 50122-0487 · (641) 864-3301 · Fax (641) 864-3304
Phone(641) 864-3301
Fax(641) 864-3304
Organization SubpartNo
Authorized OfficialKendra VeldOffice Manager · (641) 864-3301
Enumeration DateJanuary 8, 2025
NPPES CertifiedJanuary 8, 2025
✔ NPI 1821808338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
405 S STATE ST, Hubbard, IA 50122
Open in Google Maps ↗

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 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)

Hubbard Integrative Family Medicine, Pllc 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 Hubbard Integrative Family Medicine, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jennifer Lange Koch, ARNP
Nurse Practitioner
NPI 1912322538
405 S STATE ST
Hubbard, IA 50122
(641) 864-3301
✔ 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 16D0382767

Hubbard Integrative Family Medicine · Hubbard, IA
Active · expires Feb 19, 2028
CLIA Number16D0382767
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 20, 2026
Certificate Expiration DateFebruary 19, 2028
Laboratory DirectorJennifer K. Lange Koch
Laboratory Phone(641) 864-3301
Laboratory LocationHubbard Integrative Family Medicine405 South State Street, Hubbard, IA 50122
CLIA data matches this NPI record on: Address 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 Hubbard Integrative Family Medicine, PLLC's NPI number?

The NPI number for Hubbard Integrative Family Medicine, PLLC is 1821808338. It was assigned to this organization in the NPPES registry on January 8, 2025.

Where is Hubbard Integrative Family Medicine, PLLC located?

Hubbard Integrative Family Medicine, PLLC is located at 405 S State St, Hubbard, IA 50122. The listed phone number is (641) 864-3301.

What is Hubbard Integrative Family Medicine, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Hubbard Integrative Family Medicine, PLLC enrolled in Medicare?

Yes. Hubbard Integrative Family Medicine, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hubbard Integrative Family Medicine, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Hubbard Integrative Family Medicine, PLLC. 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 Hubbard Integrative Family Medicine, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D0382767) is associated with this NPI, valid through February 19, 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 Hubbard Integrative Family Medicine, PLLC was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.