KOSSUTH REGIONAL HEALTH CENTER – Family Medicine Physician, NPI 1184636557
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for KOSSUTH REGIONAL HEALTH CENTER
Mercy Family Clinic - Regency, 621, South Illinois Avenue, Regency, Mason City, Cerro Gordo County, Iowa, 50401, United States
SUITE 103
MASON CITY, IA 504015489
Phone: (641) 494-3041
Fax: (641) 494-3059
Type: Mailing
1519 S PHILLIPS ST
ALGONA, IA 505113649
Phone: (515) 295-7714
Fax: (515) 295-4505
Type: Mailing
South Phillips Street, Algona, Kossuth County, Iowa, 50511, United States
ALGONA, IA 505113649
Phone: (515) 295-7714
Fax: (515) 295-4505
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: 2004-03-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040319000696 | O | Clinic/Group Practice | IA | TBD |
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.
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 50401)
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