SAC & FOX OF THE MISS IN IOWA
NPI 1962618355
Clinic/Center - Primary Care in Tama, IA
About Sac & Fox Of The Miss In Iowa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAC & FOX OF THE MISS IN IOWA (NPI 1962618355) is a healthcare organization registered as a primary care in Tama, Iowa and active in the NPI registry since May 2007. The organization lists Mirza Gonzales, Director Administrative Services, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sac & Fox Of The Miss In Iowa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Sac & Fox Of The Miss In Iowa, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 8
Clinicians, nearest first (13)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Sac & Fox Of The Miss In Iowa's NPI number?
The NPI number for Sac & Fox Of The Miss In Iowa is 1962618355. It was assigned to this organization in the NPPES registry on May 15, 2007.
Where is Sac & Fox Of The Miss In Iowa located?
Sac & Fox Of The Miss In Iowa is located at 1646 305th Street Ste A, Tama, IA 52339. The listed phone number is (641) 484-4094.
What is Sac & Fox Of The Miss In Iowa's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Sac & Fox Of The Miss In Iowa enrolled in Medicare?
Yes. Sac & Fox Of The Miss In Iowa is registered in the Medicare PECOS enrollment system.
When is Sac & Fox Of The Miss In Iowa's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Iowa, Physician - Osteopathic Manipulative Medicine) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Sac & Fox Of The Miss In Iowa?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 8 Medicare specialties reassign their Medicare billing to Sac & Fox Of The Miss In Iowa. 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 Nurse Practitioner (4), Family Practice (2) and Marriage and Family Therapist (2). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Sac & Fox Of The Miss In Iowa accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Sac & Fox Of The Miss In Iowa 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 Sac & Fox Of The Miss In Iowa was last updated on July 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Sac & Fox Of The Miss In Iowa · NPI 1962618355
Primary Care organization in Tama, Iowa. Organization record, active in the CMS NPPES registry since May 15, 2007.
## Identity
- **NPI:** 1962618355 (Entity type: Organization)
- **Enumerated:** May 15, 2007
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Mirza Gonzales, DIRECTOR ADMINISTRATIVE SERVICES
## Practice location
- **Address:** 1646 305TH STREET, STE A, Tama, IA 52339-9634
- **Phone:** (641) 484-4094 · **Fax:** (641) 484-2432
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (DME, Iowa, Physician - Osteopathic Manipulative Medicine) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 13 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Family Practice (2), Marriage and Family Therapist (2); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 15, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1962618355) · Data from the CMS NPPES public registry.