HISTORIC BLUFFS FAMILY PRACTICE CLINIC., PC
NPI 1861006645
Nurse Practitioner - Family in Dubuque, IA
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
Specialties & Licenses
Group Practice 1
Accepted 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)
Historic Bluffs Family Practice Clinic., Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Historic Bluffs Family Practice Clinic., PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 16D2220857
Historic Bluffs Family Practice Clinic · Dubuque, IAFrequently 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 Historic Bluffs Family Practice Clinic., PC's NPI number?
The NPI number for Historic Bluffs Family Practice Clinic., PC is 1861006645. It was assigned to this organization in the NPPES registry on August 31, 2020.
Where is Historic Bluffs Family Practice Clinic., PC located?
Historic Bluffs Family Practice Clinic., PC is located at 666 Loras Blvd, Dubuque, IA 52001. The listed phone number is (563) 213-1576.
What is Historic Bluffs Family Practice Clinic., PC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Historic Bluffs Family Practice Clinic., PC enrolled in Medicare?
Yes. Historic Bluffs Family Practice Clinic., PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Historic Bluffs Family Practice Clinic., PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Historic Bluffs Family Practice Clinic., PC. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Historic Bluffs Family Practice Clinic., PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 16D2220857) is associated with this NPI, valid through April 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Historic Bluffs Family Practice Clinic., PC accept?
Health plans from Quartz list Historic Bluffs Family Practice Clinic., PC 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 Historic Bluffs Family Practice Clinic., PC was last updated on October 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Historic Bluffs Family Practice Clinic., Pc · NPI 1861006645
Family organization in Dubuque, Iowa. Organization record, active in the CMS NPPES registry since August 31, 2020.
## Identity
- **NPI:** 1861006645 (Entity type: Organization)
- **Enumerated:** August 31, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Brenda Husemann, ARNP
## Practice location
- **Address:** 666 LORAS BLVD, Dubuque, IA 52001-6233
- **Phone:** (563) 213-1576
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 6, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1861006645) · Data from the CMS NPPES public registry.