Stewart Memorial Clinic Lake City - Medicare Mental Health Clinic in Lake City, IA

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Stewart Memorial Clinic Lake City is a medicare enrolled mental health clinic (Clinic/center - Rural Health) in Lake City, Iowa. The current practice location for Stewart Memorial Clinic Lake City is 1351 W Main St, Lake City, Iowa. For appointments, you can reach them via phone at (712) 464-7907. The mailing address for Stewart Memorial Clinic Lake City is 1301 W Main St, Lake City, Iowa and phone number is (712) 464-3171.

Stewart Memorial Clinic Lake City is licensed to practice in Iowa (license number ). The clinic also participates in the medicare program and its NPI number is 1285652909. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (712) 464-7907.

Contact Information

Stewart Memorial Clinic Lake City
1351 W Main St
Lake City
IA 51449-1585
(712) 464-7907
(712) 464-7412

Map and Direction


Mental Health Clinic Profile

Full NameStewart Memorial Clinic Lake City
SpecialityClinic/Center
Location1351 W Main St, Lake City, Iowa
Authorized Official Name and PositionJames L Henkenius (CFO)
Authorized Official Contact7124644200
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stewart Memorial Clinic Lake City
1301 W Main St
Lake City
IA 51449-1585

Ph: (712) 464-3171		Stewart Memorial Clinic Lake City
1351 W Main St
Lake City
IA 51449-1585

Ph: (712) 464-7907

NPI Details:

NPI Number1285652909
Provider Enumeration Date07/18/2006
Last Update Date06/17/2026
Certification Date06/17/2026

Medicare PECOS Information:

Medicare PECOS PAC ID4486563707
Medicare Enrollment IDO20031107000249

Medical Identifiers

Medical identifiers for Stewart Memorial Clinic Lake City such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285652909NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical ()Secondary
207Q00000XFamily Medicine ()Secondary
261QR1300XClinic/center - Rural Health (Iowa)Primary
363A00000XPhysician Assistant ()Secondary
363L00000XNurse Practitioner ()Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Stewart Memorial Clinic Lake City acts as a billing entity for following providers:
Provider NamePaul Henry Novak
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1992795496
PECOS PAC ID: 7214824556
Enrollment ID: I20040302000648
Provider NameJoy S Mohr
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1275530370
PECOS PAC ID: 7911997911
Enrollment ID: I20040513000024
Provider NameSusan Ann Hornback
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871554857
PECOS PAC ID: 7315962693
Enrollment ID: I20051006000473
Provider NameTonja S Petersen Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487626719
PECOS PAC ID: 8123046026
Enrollment ID: I20051109000683
Provider NameChitravathi Yerrapareddy
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1407833577
PECOS PAC ID: 9537173869
Enrollment ID: I20060126000019
Provider NameJosh a Smith
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1639127368
PECOS PAC ID: 7618968421
Enrollment ID: I20060208000859
Provider NameRonald a Cheney
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1225089535
PECOS PAC ID: 3274537600
Enrollment ID: I20060828000021
Provider NameJeremy John Vande Zande
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1679589303
PECOS PAC ID: 4082613393
Enrollment ID: I20061214000518
Provider NameDerek L Duncan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487764957
PECOS PAC ID: 9638199938
Enrollment ID: I20070912000528
Provider NameMarc L Miller
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1023061413
PECOS PAC ID: 7416055108
Enrollment ID: I20080522000390
Provider NameBarbara J Weber
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194972265
PECOS PAC ID: 5092883140
Enrollment ID: I20081002000673
Provider NameWayne C Belling
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1083626063
PECOS PAC ID: 9739236373
Enrollment ID: I20090416000344
Provider NameMichelle L Heim
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1356501795
PECOS PAC ID: 1355483181
Enrollment ID: I20100116000291
Provider NameMichael L Burns
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336219112
PECOS PAC ID: 8921276262
Enrollment ID: I20110712000703
Provider NameStephanie a Bellcock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790073740
PECOS PAC ID: 6800065335
Enrollment ID: I20110817000716
Provider NameTimothy G Kneib
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1518932367
PECOS PAC ID: 9436102126
Enrollment ID: I20111220000427
Provider NameDanniele S Anderson
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1659652568
PECOS PAC ID: 3577739234
Enrollment ID: I20111229000600
Provider NameCassandra M Wetter
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1154682995
PECOS PAC ID: 3779724836
Enrollment ID: I20130801000334
Provider NameKyle G Ulveling
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1790906246
PECOS PAC ID: 2062654965
Enrollment ID: I20130806000040
Provider NameLee M Carlson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962841965
PECOS PAC ID: 0244473106
Enrollment ID: I20130826000631
Provider NameGlenna R Nockels
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1326326802
PECOS PAC ID: 9335374735
Enrollment ID: I20131018001831
Provider NameToni L Luck
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649611567
PECOS PAC ID: 3577799014
Enrollment ID: I20131112000132
Provider NameGatbel N Chamjock
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1649454281
PECOS PAC ID: 6103077557
Enrollment ID: I20150427001779
Provider NameJordan D Blackwill
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1992191225
PECOS PAC ID: 0042530396
Enrollment ID: I20150528000144
Provider NameMegan R Grodahl
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1801264825
PECOS PAC ID: 0648588715
Enrollment ID: I20151009001344
Provider NameKatrina V Hotka-truempler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215301791
PECOS PAC ID: 4183925464
Enrollment ID: I20151210000047
Provider NameCynthia Y Wu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255731303
PECOS PAC ID: 7214158732
Enrollment ID: I20161103001963
Provider NameAndrea L Larson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861948010
PECOS PAC ID: 2668752809
Enrollment ID: I20161206001107
Provider NameAmy M Waterman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104335496
PECOS PAC ID: 4385903640
Enrollment ID: I20180111001616
Provider NameAmanda J Buse
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417468091
PECOS PAC ID: 4587927405
Enrollment ID: I20180406000398
Provider NameKyle Jonathan Stansifer
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1962766600
PECOS PAC ID: 6709157845
Enrollment ID: I20181109002745
Provider NameAnthony Glydwell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104251776
PECOS PAC ID: 6800023300
Enrollment ID: I20190111000082
Provider NameElizabeth J Peterson
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1316505910
PECOS PAC ID: 4284965252
Enrollment ID: I20191007002197
Provider NameWendell Spencer
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1861593071
PECOS PAC ID: 3375688203
Enrollment ID: I20200120000476
Provider NameJeffrey D Hadwiger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194364307
PECOS PAC ID: 2567884083
Enrollment ID: I20200629003403
Provider NameDaniel S Crawley
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1326260191
PECOS PAC ID: 4082784467
Enrollment ID: I20200826000901
Provider NameAlexa R Snyder
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1114554326
PECOS PAC ID: 4880005867
Enrollment ID: I20201123002793
Provider NameLaccey Louise Crimmins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902497597
PECOS PAC ID: 2668881897
Enrollment ID: I20210429000927
Provider NameElijah G Miller
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1386191682
PECOS PAC ID: 4981004900
Enrollment ID: I20210614001666
Provider NameJames E Lewis
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1922385442
PECOS PAC ID: 3870756232
Enrollment ID: I20210622003377
Provider NameKasey M Napper
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841957073
PECOS PAC ID: 0648657312
Enrollment ID: I20220518001695
Provider NameKatelyn M Brown
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1891452884
PECOS PAC ID: 5597144592
Enrollment ID: I20220622001621
Provider NameJulia a Richardson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649895517
PECOS PAC ID: 9931528163
Enrollment ID: I20231010000516
Provider NameJessica a Drees
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619754181
PECOS PAC ID: 9638525389
Enrollment ID: I20231101000366
Provider NameCarrie a Goodwin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821600594
PECOS PAC ID: 9032568225
Enrollment ID: I20231213002213
Provider NameStacie a Daily
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1427458645
PECOS PAC ID: 3870941107
Enrollment ID: I20231218001355
Provider NameAnne Reiter
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1558742932
PECOS PAC ID: 1456702695
Enrollment ID: I20240111003271
Provider NameAudrey P Hood
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1033085576
PECOS PAC ID: 2961996194
Enrollment ID: I20251215001626

Reviews and Comments

Other Mental Health Clinics in Lake City, IA

Mccrary-rost Clinic
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1301 W Main St, Lake City, IA 51449
Phone: 712-464-3171    Fax: 712-464-3269
Unitypoint Health-berryhill Center
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1301 W Main St, Lake City, IA 51449
Phone: 800-482-8305    Fax: 515-573-7898
Berryhill Center for Mental Health
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1890 E Main St, Lake City, IA 51449
Phone: 712-464-8961    Fax: 712-464-3326
Amy Lapham Counseling and Assessment Services PLLC
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 819 W Madison St, Lake City, IA 51449
Phone: 515-979-5412    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.