| Madrid Family Practice Clinic | |
|
623 W North St Madrid IA 50156-1023 | |
| (515) 795-4300 | |
| (515) 433-8905 |
| Full Name | Madrid Family Practice Clinic |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 623 W North St, Madrid, Iowa |
| Authorized Official Name and Position | Mikaela Kienitz (CEO) |
| Authorized Official Contact | 5154323140 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Madrid Family Practice Clinic 623 W North St Madrid IA 50156-1023 Ph: (515) 795-4300 | Madrid Family Practice Clinic 623 W North St Madrid IA 50156-1023 Ph: (515) 795-4300 |
| NPI Number | 1508882705 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 10/10/2023 |
| Medicare PECOS PAC ID | 6507850146 |
|---|---|
| Medicare Enrollment ID | O20040414001240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508882705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Iowa) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Eric M Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710955877 PECOS PAC ID: 9133141468 Enrollment ID: I20051229000479 |
| Provider Name | Megan S Sloat |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346525714 PECOS PAC ID: 8123286945 Enrollment ID: I20140827001265 |
| Provider Name | Abby R Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780041178 PECOS PAC ID: 2365746179 Enrollment ID: I20160215000918 |
| Provider Name | Brianne L Wessels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649886029 PECOS PAC ID: 1951715523 Enrollment ID: I20210122002235 |
| Provider Name | Shana Lynn Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720618788 PECOS PAC ID: 1658799697 Enrollment ID: I20220329001554 |
| Provider Name | Janelle R Elken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659014769 PECOS PAC ID: 3971960469 Enrollment ID: I20230526000316 |
| Provider Name | Anna Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982482212 PECOS PAC ID: 7618322322 Enrollment ID: I20231016003205 |
| Provider Name | Michelle R Collette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205503075 PECOS PAC ID: 7012367006 Enrollment ID: I20240103003119 |
Global Wellness Medical Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 W 2nd St, Madrid, IA 50156 Phone: 515-795-2001 Fax: 515-795-3656 |