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HISTORIC BLUFFS FAMILY PRACTICE CLINIC., PC
NPI 1861006645
Nurse Practitioner - Family in Dubuque, IA

Active since August 31, 2020CLIA 16D2220857 · Waiver
666 LORAS BLVD, DUBUQUE, IA 52001(563) 213-1576 Get Directions Write a Review

NPPES record last updated: October 6, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 6, 2020, Aug 31, 2020 (2 updates tracked since 2020).

About Historic Bluffs Family Practice Clinic., Pc NPPES

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

HISTORIC BLUFFS FAMILY PRACTICE CLINIC., PC (NPI 1861006645) is a healthcare organization registered as a family in Dubuque, Iowa and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through April 14, 2027 and lists Brenda Husemann, Arnp, as its authorized official.

NPPES Registry Identity

NPI1861006645
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameHISTORIC BLUFFS FAMILY PRACTICE CLINIC., PC
Location Address666 LORAS BLVDDubuque, IA 52001-6233
Mailing Address666 Loras BlvdDubuque, IA 52001-6233 · (563) 213-1576
Phone(563) 213-1576
Organization SubpartNo
Authorized OfficialBrenda HusemannArnp · (563) 213-1576
Enumeration DateAugust 31, 2020
Last NPPES UpdateOctober 6, 20202 updates tracked since enumeration
NPPES CertifiedOctober 6, 2020
✔ NPI 1861006645 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
666 LORAS BLVD, Dubuque, IA 52001
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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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Quartz.Insurance ›

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 16D2220857

Historic Bluffs Family Practice Clinic · Dubuque, IA
Active · expires Apr 14, 2027
CLIA Number16D2220857
Laboratory TypePhysician Office
Certificate Effective DateApril 15, 2025
Certificate Expiration DateApril 14, 2027
Laboratory DirectorBrenda A. Husemann
Laboratory Phone(563) 239-1175
Laboratory LocationHistoric Bluffs Family Practice Clinic666 Loras Blvd, Dubuque, IA 52001
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MYOTECH IOWA PC
Dentist (General Practice)
666 LORAS BLVD
DUBUQUE, IA 52001
Dubuque County (563) 582-0117
MRS. BRENDA ANN HUSEMANN FNP-BC
Nurse Practitioner (Primary Care)
666 LORAS BLVD
DUBUQUE, IA 52001
Dubuque County (563) 239-1175

Frequently Asked Questions

What is HISTORIC BLUFFS FAMILY PRACTICE CLINIC., PC's NPI number?

The NPI number assigned to this healthcare provider is 1861006645, enumerated as an "organization" on August 31, 2020.

Where is the provider located?

The provider is located at 666 LORAS BLVD DUBUQUE, IA 52001 and the phone number is (563) 213-1576.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

What insurance does HISTORIC BLUFFS FAMILY PRACTICE CLINIC., PC accept?

The provider might be accepting Accepts: Medica and Quartz. Please consult your insurance carrier or call the provider to verify.