Nevada Medical Clinic – Family Medicine Physician, NPI 1023080504

Nevada Medical Clinic is a healthcare provider. based in Nevada, Iowa. specializing in Family Medicine Physician. The NPI Number for Nevada Medical Clinic is 1023080504

Main info

Organization
Name
Nevada Medical Clinic
NPI
1023080504
Phone
(515) 382-5413
Address
640 S 19TH ST
Authorized Official
MRS. KEMBERLEE S PACKER CREDENTIALING SPECIALIST
Enumeration Date
7 February 2006
Last Update Date
10 February 2017
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Nevada Medical Clinic

  • Story County Medical Center, 640, South 19th Street, Nevada, Story County, Iowa, 50201, United States

    NEVADA, IA 502012902

    Phone: (515) 382-5413

    Fax: (515) 382-7107

    Mailing address matches the actual address.

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: 2004-02-04

PECOS data refreshed: 2026-05-27

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 50201)

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Reviews

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Frequently asked questions

What unique ID ties claims to Nevada Medical Clinic?
NPI 1023080504 is assigned to Nevada Medical Clinic under the national enumeration system.
Is Nevada Medical Clinic's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does Nevada Medical Clinic work in?
You can think of Nevada Medical Clinic as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does Nevada Medical Clinic practice in Iowa?
You will see Nevada, Iowa on file for Nevada Medical Clinic alongside any extra practice locations.
What if Nevada, Iowa seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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