KURT J KLISE MD
NPI 1871589754
Family Medicine in Grimes, IA
About Kurt J Klise Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KURT J KLISE MD (NPI 1871589754) is an individual family medicine provider in Grimes, Iowa, licensed in Iowa (24439) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Mercyone Centerville Medical Center, and maintains a secondary practice location in Perry.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kurt J Klise Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kurt Klise reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Centerville, IA 52544
- Reassigned Medicare billing, Iowa enrollment
- 57 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercyone Centerville Medical Center
Critical Access Hospitals · Centerville, IAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 50111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 9
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kurt Klise's NPI number?
The NPI number for Kurt Klise is 1871589754. It was assigned to this individual provider in the NPPES registry on September 26, 2005.
Where is Kurt Klise located?
Kurt Klise practices at 250 SW Brookside Dr, Grimes, IA 50111. The listed phone number is (515) 300-3900.
What is Kurt Klise's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kurt Klise enrolled in Medicare?
Yes. Kurt Klise is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kurt Klise's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kurt Klise reassigns Medicare benefits to Mercy Medical Center-Centerville (Centerville, IA). The 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 Kurt Klise's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kurt Klise accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Sanford Health Plan list Kurt Klise 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.
Is Kurt Klise affiliated with any hospitals?
According to CMS data, Kurt Klise is affiliated with Mercyone Centerville Medical Center.
When was this NPI record last updated?
The NPPES record for Kurt Klise was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Kurt J Klise, MD · NPI 1871589754
Family Medicine physician in Grimes, Iowa. Individual provider, active in the CMS NPPES registry since September 26, 2005.
## Identity
- **NPI:** 1871589754 (Entity type: Individual)
- **Enumerated:** September 26, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 24439 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 250 SW BROOKSIDE DR, Grimes, IA 50111-4900
- **Phone:** (515) 300-3900 · **Fax:** (515) 300-3901
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mercy Medical Center-Centerville (NPI 1679700173, Centerville, IA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Kansas School Of Med, class of 1982
## Record status
- **NPPES last updated:** March 17, 2018
- **Other identifiers:** Other 080195357 (IA); Medicaid 3219469 (IA)
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Source: [NPI Profile](https://npiprofile.com/npi/1871589754) · Data from the CMS NPPES public registry.