JUNE E NYLEN CANCER CENTER – Hematology & Oncology Physician, NPI 1114904604
Hematology & Oncology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for JUNE E NYLEN CANCER CENTER
South Sioux City Post Office, West 23rd Street, South Sioux City, Dakota County, Nebraska, 68776, United States
SIOUX CITY, IA 511025017
Phone: (712) 252-9301
Fax: (712) 252-9337
Type: Mailing
June E. Nylen Cancer Center, 230, Nebraska Street, Sioux City, Woodbury County, Iowa, 51101, United States
SIOUX CITY, IA 511011733
Phone: (712) 252-0088
Fax: (712) 252-9404
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: 2015-03-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation due soon
Earliest CMS due date is 2026-06-30 (19 days away).
Enrollment records
2
Earliest due date
2026-06-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20050721000823 | O | Clinic/Group Practice | IA | TBD |
| O20150326002268 | O | Multi-Specialty - Physician | IA | 2026-06-30 |
What to do next
- Confirm the due date on the CMS Revalidation Lookup Tool.
- Complete revalidation in PECOS before the published due date.
- If you have multiple enrollment records, revalidate each one on its own schedule.
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 51102)
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