MR. CHAD P ENICH (PA C) – Physician Assistant, NPI 1174510879

MR. CHAD P ENICH (PA C) is a healthcare provider. based in Urbandale, Iowa. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA C. They hold a License No. 001165 (IA). The NPI Number for MR. CHAD P ENICH (PA C) is 1174510879

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
MR. CHAD P ENICH (PA C)
NPI
1174510879
Phone
(515) 276-3406
Address
2901 86TH ST
Enumeration Date
29 September 2005
Last Update Date
24 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5152513880
Graduation Year
1998 (28 years ago)
PAC ID
2769480151
Group Practice PAC ID
8729992318
Professional Enrollment ID
I20061120000083
Address ID
IA503227208UR5200XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,648 PHYSICIAN ASSISTANT in IA

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Provider Addresses for MR. CHAD P ENICH (PA C)

  • 2901, 86th Street, Urbandale, Polk County, Iowa, 50322, United States

    URBANDALE, IA 503224201

    Phone: (515) 276-3406

    Fax: (515) 276-5141

    Type: Mailing

  • Urbandale Family Physicians, 2901, 86th Street, Urbandale, Polk County, Iowa, 50322, United States

    URBANDALE, IA 503224201

    Phone: (515) 276-3406

    Fax: (515) 276-5141

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-11-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061120000083IPhysician AssistantIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes138135$0
99214Established patient office or other outpatient visit, 30-39 minutes132128$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count6463$0
81003Automated urinalysis test5555$0
36415Insertion of needle into vein for collection of blood sample5553$0
View full utilization report →

Insurance plans in this area (ZIP 50322)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729992318View full group profile

Reviews

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Frequently asked questions

Is MR. CHAD P ENICH (PA C) listed with a National Provider Identifier?
Yes — MR. CHAD P ENICH (PA C) has NPI 1174510879 on file in the registry.
Is MR. CHAD P ENICH (PA C) still an active registrant?
MR. CHAD P ENICH (PA C) carries an active NPI according to the public dataset.
What kind of doctor is MR. CHAD P ENICH (PA C)?
MR. CHAD P ENICH (PA C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. CHAD P ENICH (PA C)?
Travel planning: use Urbandale, Iowa as the reference point for MR. CHAD P ENICH (PA C), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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