Shenandoah Physicians Clinic – Rural Health Clinic/Center, NPI 1427300201

Shenandoah Physicians Clinic is a healthcare provider. based in Shenandoah, Iowa. specializing in Rural Health Clinic/Center. The organization holds a License No. 730065H (IA). The NPI Number for Shenandoah Physicians Clinic is 1427300201

Main info

Organization
Name
Shenandoah Physicians Clinic
NPI
1427300201
Phone
(712) 246-7240
Address
300 PERSHING AVE
Authorized Official
KAREN COLE CEO
Enumeration Date
4 October 2012
Last Update Date
17 December 2012
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness80
Years active:13State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Shenandoah Physicians Clinic

  • 300 PERSHING AVE

    PO BOX 380

    SHENANDOAH, IA 516012355

    Phone: (712) 246-7240

    Fax: (712) 246-7357

    Type: Mailing

  • 1 JACK FOSTER DR

    SHENANDOAH, IA 516014586

    Phone: (712) 246-7240

    Fax: (712) 246-7357

    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: 2010-10-18

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
O20101018000540ORural Health ClinicIATBD

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.

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

Insurance plans in this area (ZIP 51601)

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Reviews

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Frequently asked questions

Can I cross-check Shenandoah Physicians Clinic using NPI 1427300201?
NPI 1427300201 belongs to Shenandoah Physicians Clinic; compare other details if you need extra assurance.
Would Shenandoah Physicians Clinic appear as active to a payer?
You can treat Shenandoah Physicians Clinic as active for directory purposes; confirm clinical privileges separately.
How would a patient describe Shenandoah Physicians Clinic's focus?
For Shenandoah Physicians Clinic, the primary taxonomy reads as Rural Health Clinic/Center. Clinical services aligned with this taxonomy classification.
What locale is associated with Shenandoah Physicians Clinic?
Directory geography for Shenandoah Physicians Clinic centers on Shenandoah, Iowa.
When was this NPI issued?
Enumeration for Shenandoah Physicians Clinic is noted as October 4, 2012 where the registry provides it.

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