CNR Development, LLC – Dermatology Physician, NPI 1699241240
Dermatology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for CNR Development, LLC
3901, Northeast Bellagio Circle, Otter Creek, Ankeny, Polk County, Iowa, 50021, United States
ANKENY, IA 500216864
Phone: (515) 865-4291
Type: Mailing
920 N Quincy Ave
Ottumwa, IA 525013866
Phone: (515) 207-9358
Fax: (515) 207-9370
Type: Location
1015 Union St
Boone, IA 500364821
Phone: (515) 644-3400
Fax: (515) 644-7110
Type: Location
51 Unitypoint Way
Marshalltown, IA 501584750
Phone: (515) 644-3400
Fax: (515) 644-7110
Type: Location
Newton Clinic, 300, North 4th Avenue East, Newton, Jasper County, Iowa, 50208, United States
NEWTON, IA 502083155
Phone: (515) 207-9358
Fax: (515) 207-9370
Type: Location
2814 NW 28TH ST
ANKENY, IA 500231589
Phone: (515) 783-6679
Fax: (515) 644-7110
Type: Mailing
404 JEFFERSON ST
PELLA, IA 502191257
Phone: (515) 207-9358
Fax: (515) 207-9370
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: 2018-12-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (894 days ago).
Enrollment records
1
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| O20181218000105 | O | Clinic/Group Practice | IA | 2023-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 50021)
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