| Pella Medical Clinic | |
|
405 Monroe St Pella IA 50219-1189 | |
| (641) 628-3832 | |
| (641) 628-8894 |
| Full Name | Pella Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 405 Monroe St, Pella, Iowa |
| Authorized Official Name and Position | Robert D Kroese (CEO) |
| Authorized Official Contact | 6416286604 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pella Medical Clinic 405 Monroe St Pella IA 50219-1189 Ph: (641) 628-3832 | Pella Medical Clinic 405 Monroe St Pella IA 50219-1189 Ph: (641) 628-3832 |
| NPI Number | 1053369405 |
|---|---|
| Provider Enumeration Date | 05/05/2006 |
| Last Update Date | 10/20/2014 |
| Medicare PECOS PAC ID | 9931005873 |
|---|---|
| Medicare Enrollment ID | O20031210000914 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053369405 | NPI | - | NPPES |
| 0147223 | Medicaid | IA | |
| 16D0383077 | Other | IA | CLIA NUMBER |
| CC5750 | Other | IA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 630165H (Iowa) | Secondary |
| 207R00000X | Internal Medicine | 630165H (Iowa) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | 630165H (Iowa) | Primary |
| Provider Name | Saima Z Shahid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306852967 PECOS PAC ID: 7416856802 Enrollment ID: I20040105000731 |
| Provider Name | Russell E Bandstra |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619948098 PECOS PAC ID: 1951395631 Enrollment ID: I20040414000710 |
| Provider Name | John Michael Tentinger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801881933 PECOS PAC ID: 1052307204 Enrollment ID: I20040422001013 |
| Provider Name | Danielle K Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134109507 PECOS PAC ID: 8729079496 Enrollment ID: I20040520001391 |
| Provider Name | Matt A Morgan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447275722 PECOS PAC ID: 1557346772 Enrollment ID: I20040622000926 |
| Provider Name | Ashraf Adel Samy Gerges |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003874264 PECOS PAC ID: 1355326943 Enrollment ID: I20040706000719 |
| Provider Name | Kevin W Mace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043282759 PECOS PAC ID: 8022088392 Enrollment ID: I20040727000096 |
| Provider Name | Daniel W Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053307314 PECOS PAC ID: 9537132683 Enrollment ID: I20040817000353 |
| Provider Name | David K Carroll |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154575785 PECOS PAC ID: 1052384963 Enrollment ID: I20040818000877 |
| Provider Name | Kimberly C Bina |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942261995 PECOS PAC ID: 1951377290 Enrollment ID: I20040908000463 |
| Provider Name | David J Vanderhoff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285715557 PECOS PAC ID: 5799754412 Enrollment ID: I20040929000887 |
| Provider Name | Joseph I Coleman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841294881 PECOS PAC ID: 0143282657 Enrollment ID: I20041119000293 |
| Provider Name | Ronald Ray Childerston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518947985 PECOS PAC ID: 9931158375 Enrollment ID: I20050112001053 |
| Provider Name | Shawna R Fopma |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740258920 PECOS PAC ID: 2062461759 Enrollment ID: I20050120000284 |
| Provider Name | Tereasa L Van Zee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033148648 PECOS PAC ID: 5597701888 Enrollment ID: I20050708000322 |
| Provider Name | Jeffrey M Hartung |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902884976 PECOS PAC ID: 8022047067 Enrollment ID: I20050810000061 |
| Provider Name | Anne Kathleen Hellbusch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346214228 PECOS PAC ID: 7315979325 Enrollment ID: I20050909000640 |
| Provider Name | Jason B Wittmer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487630489 PECOS PAC ID: 7517982176 Enrollment ID: I20051012000798 |
| Provider Name | Karen S Chambers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811989155 PECOS PAC ID: 6103842158 Enrollment ID: I20051019000126 |
| Provider Name | Sheila K Punt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912938382 PECOS PAC ID: 5799708079 Enrollment ID: I20060112000744 |
| Provider Name | Stephen M Ellestad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124009634 PECOS PAC ID: 3971527839 Enrollment ID: I20060118000424 |
| Provider Name | Daniel J Rowley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144240805 PECOS PAC ID: 1850397357 Enrollment ID: I20061005000475 |
| Provider Name | Ryan J Thoreson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720090327 PECOS PAC ID: 5496755563 Enrollment ID: I20070115000114 |
| Provider Name | Jill A Frerichs |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1962547356 PECOS PAC ID: 7012976350 Enrollment ID: I20070313000166 |
| Provider Name | Robin L Vande Voort |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831202498 PECOS PAC ID: 7810097029 Enrollment ID: I20070717000073 |
| Provider Name | Brian P Freeman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225141609 PECOS PAC ID: 3375644222 Enrollment ID: I20070723000676 |
| Provider Name | Stephanie L Courson Pothoven |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033230560 PECOS PAC ID: 8224139803 Enrollment ID: I20070726000449 |
| Provider Name | Mark A Kellerman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891780995 PECOS PAC ID: 7517068851 Enrollment ID: I20070731000134 |
| Provider Name | Stewart D Kanis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689787152 PECOS PAC ID: 5395836381 Enrollment ID: I20070806000370 |
| Provider Name | Philip D Sundquist |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053520403 PECOS PAC ID: 4789647967 Enrollment ID: I20070904000535 |
| Provider Name | Orville J Jacobs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558348169 PECOS PAC ID: 7214017482 Enrollment ID: I20071231000496 |
| Provider Name | Rebecca S Bartelma |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700054616 PECOS PAC ID: 0749369205 Enrollment ID: I20080508000503 |
| Provider Name | Dustin D Derflinger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932379682 PECOS PAC ID: 0648342428 Enrollment ID: I20080710000768 |
| Provider Name | Leah A Bethel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710183637 PECOS PAC ID: 9830250596 Enrollment ID: I20081212000627 |
| Provider Name | Bethanne Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316189004 PECOS PAC ID: 5496805699 Enrollment ID: I20090610000046 |
| Provider Name | Brian L Gallagher |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1336358324 PECOS PAC ID: 4789736695 Enrollment ID: I20090723000106 |
| Provider Name | Michele Ann Tingle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689769432 PECOS PAC ID: 6406909571 Enrollment ID: I20090806000691 |
| Provider Name | Gyobanna C Driver |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801056874 PECOS PAC ID: 8022159151 Enrollment ID: I20100111000662 |
| Provider Name | Richard L Glowacki |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679567663 PECOS PAC ID: 7214079573 Enrollment ID: I20100125000471 |
| Provider Name | Wendy L Fluegel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083691596 PECOS PAC ID: 5890705438 Enrollment ID: I20100129000113 |
| Provider Name | Dale Lee Lensing |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477557411 PECOS PAC ID: 2062476955 Enrollment ID: I20100515000106 |
| Provider Name | Kelly J Decious |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922262476 PECOS PAC ID: 9830271170 Enrollment ID: I20100607000732 |
| Provider Name | Elizabeth A Vermeer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073745907 PECOS PAC ID: 2365572005 Enrollment ID: I20100607000840 |
| Provider Name | Heidi L Wintermote |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952382384 PECOS PAC ID: 9537299110 Enrollment ID: I20100608000390 |
| Provider Name | Mitchell Lee Blom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558341917 PECOS PAC ID: 9830221464 Enrollment ID: I20100719000104 |
| Provider Name | Matthew A Gritters |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396716411 PECOS PAC ID: 1355393380 Enrollment ID: I20100817000392 |
| Provider Name | Galyn Wayne Vande Zande |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144298555 PECOS PAC ID: 7618001371 Enrollment ID: I20100817000408 |
| Provider Name | Matthew Kenneth Doty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508836750 PECOS PAC ID: 2062546724 Enrollment ID: I20100817000434 |
| Provider Name | Craig Allen Wittenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285602920 PECOS PAC ID: 8628020658 Enrollment ID: I20100818000789 |
| Provider Name | Richard Dale Posthuma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144298019 PECOS PAC ID: 9739278797 Enrollment ID: I20100818000836 |
| Provider Name | Alison J Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326255746 PECOS PAC ID: 8628114659 Enrollment ID: I20110525000509 |
| Provider Name | Grant T Goldsberry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235228685 PECOS PAC ID: 9032398730 Enrollment ID: I20110712000217 |
| Provider Name | Rachael A Gumm |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619273380 PECOS PAC ID: 9133302441 Enrollment ID: I20110727000083 |
| Provider Name | Stephen Ambrose Barnes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609197573 PECOS PAC ID: 1850566092 Enrollment ID: I20111216000067 |
| Provider Name | Brenda K Birdsell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780952846 PECOS PAC ID: 8921275629 Enrollment ID: I20120120000512 |
| Provider Name | Jamie M Amble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972808079 PECOS PAC ID: 9436332202 Enrollment ID: I20120124000900 |
| Provider Name | Leah J Bruxvoort |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609121797 PECOS PAC ID: 0042469728 Enrollment ID: I20121012000839 |
| Provider Name | Jeanetta E Nieuwsma |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235440454 PECOS PAC ID: 8921252404 Enrollment ID: I20130209000011 |
| Provider Name | Jordan Dean Vos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568701894 PECOS PAC ID: 3274788963 Enrollment ID: I20130304000035 |
| Provider Name | Meghna Krishnan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376781914 PECOS PAC ID: 5092848630 Enrollment ID: I20130410000077 |
| Provider Name | Carissa L Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548502453 PECOS PAC ID: 0244477040 Enrollment ID: I20130515000522 |
| Provider Name | Mohammad Masud Hassan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326049420 PECOS PAC ID: 9739121781 Enrollment ID: I20130529000413 |
| Provider Name | Heidi L Van Maanen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740500099 PECOS PAC ID: 5597906867 Enrollment ID: I20130729000970 |
| Provider Name | Kevin Krishna Birusingh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497915300 PECOS PAC ID: 2567605215 Enrollment ID: I20130827000873 |
| Provider Name | John David Welander |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245466515 PECOS PAC ID: 6103064548 Enrollment ID: I20140506000573 |
| Provider Name | Charles R Canedy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831327287 PECOS PAC ID: 6507009123 Enrollment ID: I20140721000514 |
| Provider Name | Gerald A Matysik |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750367124 PECOS PAC ID: 4981614534 Enrollment ID: I20140819001281 |
| Provider Name | Molly M Engelhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518374446 PECOS PAC ID: 9133341332 Enrollment ID: I20141103001643 |
| Provider Name | Jana R Rus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275922908 PECOS PAC ID: 8729303417 Enrollment ID: I20150223000881 |
| Provider Name | Allison M Crall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215316401 PECOS PAC ID: 6709198054 Enrollment ID: I20150630001130 |
| Provider Name | Maria Hernandez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891960738 PECOS PAC ID: 3779659826 Enrollment ID: I20160115001293 |
| Provider Name | Tara Dawn Temperly-leidigh |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1487013017 PECOS PAC ID: 6800191750 Enrollment ID: I20160301002459 |
| Provider Name | Jacklyn Sue Hoskins |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1275991804 PECOS PAC ID: 1052617917 Enrollment ID: I20160303000183 |
| Provider Name | Janna Marie Hansen-nolin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1750740361 PECOS PAC ID: 6800192006 Enrollment ID: I20160315001388 |
| Provider Name | Ruth Mome |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437590296 PECOS PAC ID: 9739483207 Enrollment ID: I20160331002017 |
| Provider Name | Nathan A Nicholson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972860476 PECOS PAC ID: 0244479335 Enrollment ID: I20170713003138 |
| Provider Name | Elizabeth M Wooster-pierson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639585359 PECOS PAC ID: 8729397419 Enrollment ID: I20170718000219 |
| Provider Name | Mccabe Clayton Kenny |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164721338 PECOS PAC ID: 7810217767 Enrollment ID: I20170718002047 |
| Provider Name | Raviv Ramdial |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497016273 PECOS PAC ID: 1557595485 Enrollment ID: I20170919002340 |
| Provider Name | Jamie L Steenhoek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417469487 PECOS PAC ID: 0143587295 Enrollment ID: I20171128003633 |
| Provider Name | Maria L Lao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801851498 PECOS PAC ID: 7618955683 Enrollment ID: I20171211002654 |
| Provider Name | Christina R Sailors |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639670300 PECOS PAC ID: 0143584938 Enrollment ID: I20180502001800 |
| Provider Name | Trevor T Wild |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881969111 PECOS PAC ID: 9830419845 Enrollment ID: I20180718002372 |
| Provider Name | Lucas M Mihalovich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619358579 PECOS PAC ID: 1355655408 Enrollment ID: I20180725001337 |
| Provider Name | Shelby Dames |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1528000940 PECOS PAC ID: 3971516030 Enrollment ID: I20180807002640 |
| Provider Name | Robert S Dykstra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073994059 PECOS PAC ID: 5698088631 Enrollment ID: I20180815003893 |
| Provider Name | Erica Lm Silbernagel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386027282 PECOS PAC ID: 2264730688 Enrollment ID: I20181005002098 |
| Provider Name | Jody L Van Veen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346724713 PECOS PAC ID: 8325392574 Enrollment ID: I20181107001358 |
| Provider Name | Shelby M Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750857264 PECOS PAC ID: 5294070058 Enrollment ID: I20181222000466 |
| Provider Name | Ashlesha Sharma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902068083 PECOS PAC ID: 8325326929 Enrollment ID: I20190430001755 |
| Provider Name | Jessica L Streeter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952810087 PECOS PAC ID: 5991047532 Enrollment ID: I20190430001779 |
| Provider Name | Kelsey Nicole Bieghler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427690387 PECOS PAC ID: 2961835277 Enrollment ID: I20191127000451 |
| Provider Name | Seth T Streeter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497247688 PECOS PAC ID: 5890121081 Enrollment ID: I20200206002150 |
| Provider Name | Don X Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659809283 PECOS PAC ID: 6406125194 Enrollment ID: I20200608000227 |
| Provider Name | Francis J Thornton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770545949 PECOS PAC ID: 3678569027 Enrollment ID: I20200608002642 |
| Provider Name | Luke Bolek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508992470 PECOS PAC ID: 8022102904 Enrollment ID: I20200622002907 |
| Provider Name | Vaishali S Lafita |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053583633 PECOS PAC ID: 3476626847 Enrollment ID: I20200821000950 |
| Provider Name | Giovanni E Lorenz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114196185 PECOS PAC ID: 7719258904 Enrollment ID: I20201222001178 |
| Provider Name | Cassandra Marie Lanning |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518464387 PECOS PAC ID: 5294083762 Enrollment ID: I20210629003447 |
| Provider Name | Ryan Dornbier |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1609294305 PECOS PAC ID: 2365743226 Enrollment ID: I20210731000247 |
| Provider Name | Jacob Jipp |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164886644 PECOS PAC ID: 6103188404 Enrollment ID: I20210802000068 |
| Provider Name | Stephanie A Gorsuch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942975578 PECOS PAC ID: 2668870734 Enrollment ID: I20211005001421 |
| Provider Name | Jaspreet Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073176392 PECOS PAC ID: 0446592984 Enrollment ID: I20211021000887 |
| Provider Name | Holly N Dunlavy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376208785 PECOS PAC ID: 3577952795 Enrollment ID: I20211109003254 |
| Provider Name | Hayley N Sytsma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518639707 PECOS PAC ID: 9436548369 Enrollment ID: I20211116000837 |
| Provider Name | Kimberly Ann Schou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598429839 PECOS PAC ID: 4880085067 Enrollment ID: I20211222002480 |
| Provider Name | Marcy Michelle Covert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992464325 PECOS PAC ID: 0840682324 Enrollment ID: I20220112002157 |
| Provider Name | Zahn Raubenheimer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467912402 PECOS PAC ID: 4284969403 Enrollment ID: I20220114000328 |
| Provider Name | Maria N Beacom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770234940 PECOS PAC ID: 7113319351 Enrollment ID: I20220119002500 |
| Provider Name | Erica A Deright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639748726 PECOS PAC ID: 4789088147 Enrollment ID: I20220208002680 |
| Provider Name | Cassidy Mae Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609533264 PECOS PAC ID: 0941694624 Enrollment ID: I20220222002415 |
| Provider Name | Noah E Kelm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356904205 PECOS PAC ID: 3173858099 Enrollment ID: I20220426000533 |
| Provider Name | Garrett Philip Donaldson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356804249 PECOS PAC ID: 1759616287 Enrollment ID: I20220714004042 |
| Provider Name | Jessie K Grote |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457086738 PECOS PAC ID: 2961884192 Enrollment ID: I20220803003260 |
| Provider Name | Emily Kathryn Brugioni |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1790136182 PECOS PAC ID: 6901166362 Enrollment ID: I20220810000890 |
| Provider Name | Andrew Mills |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407072150 PECOS PAC ID: 7810060514 Enrollment ID: I20220822000392 |
| Provider Name | Christopher James Atkinson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093013260 PECOS PAC ID: 5294021887 Enrollment ID: I20220928002035 |
| Provider Name | Seth A Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528210879 PECOS PAC ID: 9133367998 Enrollment ID: I20221012001003 |
| Provider Name | Wendelin Kreifels |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205299252 PECOS PAC ID: 5193017374 Enrollment ID: I20221024000156 |
| Provider Name | Summer D Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639880156 PECOS PAC ID: 9032588728 Enrollment ID: I20221220002312 |
| Provider Name | Olivia Catherine Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710645601 PECOS PAC ID: 3173993144 Enrollment ID: I20230109001251 |
| Provider Name | Adam A Sciuk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285696856 PECOS PAC ID: 1153459607 Enrollment ID: I20230119000988 |
| Provider Name | Kelly Gibson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023388444 PECOS PAC ID: 5496128340 Enrollment ID: I20230224000406 |
| Provider Name | Kartik Anand |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164863841 PECOS PAC ID: 1052610250 Enrollment ID: I20230307002343 |
| Provider Name | David Gary Browne |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992705248 PECOS PAC ID: 2062697733 Enrollment ID: I20230314000548 |
| Provider Name | Libbie N Vos |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1083315907 PECOS PAC ID: 8022483007 Enrollment ID: I20230404002619 |
| Provider Name | Rahul N Sawlani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790096592 PECOS PAC ID: 1456645431 Enrollment ID: I20230414002134 |
| Provider Name | Allison N Erwine |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1497390785 PECOS PAC ID: 2567828338 Enrollment ID: I20230520000207 |
| Provider Name | Gbenga Adeyemi Shogbesan |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1588169171 PECOS PAC ID: 5193105963 Enrollment ID: I20230703002025 |
| Provider Name | Andrew W Osiason |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053396929 PECOS PAC ID: 6709783269 Enrollment ID: I20230717001177 |
| Provider Name | Libby A Wilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952089757 PECOS PAC ID: 8123480100 Enrollment ID: I20230809000489 |
| Provider Name | Mario D Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588223952 PECOS PAC ID: 4789073115 Enrollment ID: I20230817000719 |
| Provider Name | Kiley A Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760160485 PECOS PAC ID: 3577927300 Enrollment ID: I20230913000993 |
| Provider Name | Andrew J Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326255449 PECOS PAC ID: 7113018730 Enrollment ID: I20231030000710 |
| Provider Name | Rachel Ruth Grenier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386370443 PECOS PAC ID: 7012375066 Enrollment ID: I20240215003250 |
| Provider Name | Clinton Cunningham |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1215410741 PECOS PAC ID: 4183061583 Enrollment ID: I20240321000120 |
| Provider Name | Victoria L Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467219337 PECOS PAC ID: 1658719471 Enrollment ID: I20240329000319 |
Kurt R. Vander Ploeg, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 615 Washington St, Pella, IA 50219 Phone: 641-628-2222 Fax: 641-628-2915 | |
Restorative Health & Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 713 E 1st St, Pella, IA 50219 Phone: 641-204-0052 | |
Premise Health Of Iowa Medical P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1610 Vermeer Road East, Pella, IA 50219 Phone: 641-621-7670 Fax: 641-621-8295 | |
Schenk Chiropractic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 E Oskaloosa St, Pella, IA 50219 Phone: 641-820-0151 | |
Red Rock Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 615 Washington St, Pella, IA 50219 Phone: 641-628-2222 Fax: 641-628-2915 | |
Little Wonders Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 906 Washington St, Pella, IA 50219 Phone: 641-215-8060 |