MOUNT VERNON FAMILY MEDICINE, PC
NPI 1972357325
Clinic/Center - Health Service in Mount Vernon, IA

Active since April 12, 2024
107 1ST ST NE, MOUNT VERNON, IA 52314(319) 361-5815 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 5, 2024, Apr 12, 2024 (2 updates tracked since 2024).

About Mount Vernon Family Medicine, Pc NPPES

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

MOUNT VERNON FAMILY MEDICINE, PC (NPI 1972357325) is a healthcare organization registered as a health service in Mount Vernon, Iowa and active in the NPI registry since April 2024. The organization lists Angela B B Axdahl, Administrator, as its authorized official.

NPPES Registry Identity

NPI1972357325
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameMOUNT VERNON FAMILY MEDICINE, PC
Location Address107 1ST ST NEMount Vernon, IA 52314-1422
Mailing Address107 1st St NeMount Vernon, IA 52314-1422 · (319) 895-1620 · Fax (319) 895-1250
Organization SubpartNo
Authorized OfficialAngela B B AxdahlAdministrator · (712) 253-5291
Enumeration DateApril 12, 2024
Last NPPES UpdateSeptember 5, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
✔ NPI 1972357325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
107 1ST ST NE, Mount Vernon, IA 52314

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mount Vernon Family Medicine, Pc 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 Mount Vernon Family Medicine, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1013144674
107 1ST ST NE
Mount Vernon, IA 52314
(319) 895-1620
✔ 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.

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 Mount Vernon Family Medicine, PC's NPI number?

The NPI number for Mount Vernon Family Medicine, PC is 1972357325. It was assigned to this organization in the NPPES registry on April 12, 2024.

Where is Mount Vernon Family Medicine, PC located?

Mount Vernon Family Medicine, PC is located at 107 1st St NE, Mount Vernon, IA 52314. The listed phone number is (319) 361-5815.

What is Mount Vernon Family Medicine, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Mount Vernon Family Medicine, PC enrolled in Medicare?

Yes. Mount Vernon Family Medicine, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mount Vernon Family Medicine, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Mount Vernon Family Medicine, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mount Vernon Family Medicine, PC was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.