AVERA MEDICAL GROUP SPENCER
NPI 1902886567
Family Medicine in Spencer, IA
NPI Status: Active since January 19, 2006
Contact Information
116 E 11TH ST
SUITE 101
SPENCER, IA
ZIP 51301
Phone: (712) 264-3500
Fax: (712) 264-3535
- Organization
- Family Medicine
- CLIA Number: 16D0385496
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-22-2025
About AVERA MEDICAL GROUP SPENCER
This page provides the complete NPI Profile along with additional information for Avera Medical Group Spencer, a primary care provider established in Spencer, Iowa operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1902886567 assigned on January 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Avera Medical Group Spencer. The authorized official of this NPI record is Ms. Julie N Norton (V.p. Finance)
- NPI
- 1902886567
- Provider Legal Name
- AVERA MCKENNAN
- Other Organization Name
- AVERA MEDICAL GROUP SPENCER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 116 E 11TH ST SUITE 101 SPENCER, IA 51301
- Location Phone
- (712) 264-3500
- Location Fax
- (712) 264-3535
- Mailing Address
- 116 E 11TH ST SUITE 101 SPENCER, IA 51301
- Mailing Phone
- (712) 264-3500
- Mailing Fax
- (712) 264-3535
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-19-2006
- Last Update Date
- 03-12-2012
- Code Navigator
A primary care provider (PCP) like Avera Medical Group Spencer sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License State
- IA
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | (IA) |
| 2 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | (IA) |
| 3 | 363LP0200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | (IA) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0252791 | MEDICAID (05) | IA | |
| I5491 | MEDICARE ID-TYPE UNSPECIFIED (04) | IA | GROUP MEDICARE PROVIDER |
| 1202730014 | MEDICARE NSC (07) | IA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 16D0385496
- Facility Type
- Physician Office
- Certificate Effective Date
- December 23, 2023
- Certificate Expiration Date
- December 22, 2025
- Laboratory Director
- KELSEY BENEKE
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Avera Medical Group Spencer on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 0 | 2 | 8 | 8 | 6 | 5 | 6 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 0 | 2 | 16 | 8 | 12 | 5 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 0 + 2 + 1 + 6 + 8 + 1 + 2 + 5 + 1 + 2 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1902886567 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1598760605 | DR. JOHN BENJAMIN SYNHORST II D.D.S Individual | Dentist (Oral and Maxillofacial Surgery) | 116 E 11TH ST STE 201 SPENCER, IA 51301 (712) 262-7350 |
| 1801876685 | DR. BRUCE ANTHONY FELDMANN M.D. Individual | Family Medicine | 116 E 11TH ST SUITE 101 SPENCER, IA 51301 (712) 264-3500 |
| 1174503957 | DR. JOHN EDWIN HILSABECK M.D. Individual | Family Medicine | 116 E 11TH ST SUITE 101 SPENCER, IA 51301 (712) 264-3500 |
| 1700866589 | DR. KENNETH RAY HUNZIKER M.D. Individual | Family Medicine | 116 E 11TH ST SUITE 101 SPENCER, IA 51301 (712) 264-3500 |
| 1447230081 | SUSAN TERRELL ARNP Individual | Nurse Practitioner (Family) | 116 E 11TH ST SUITE 101 SPENCER, IA 51301 (712) 264-3500 |
| 1255311833 | DR. RONALD JAMES CRESWELL M.D. Individual | Family Medicine | 116 E 11TH ST SUITE 101 SPENCER, IA 51301 (712) 264-3500 |
| 1285614883 | DR. SONIA ALBERTSON SATHER M.D. Individual | Family Medicine | 116 E 11TH ST SUITE 101 SPENCER, IA 51301 (712) 264-3500 |
| 1316927932 | CAROL ANN OLBERDING P.A. - C Individual | Physician Assistant | 116 E 11TH ST SUITE 101 SPENCER, IA 51301 (712) 264-3500 |
| 1629058243 | JAMES ALFRED RESER P.A. - C Individual | Physician Assistant | 116 E 11TH ST SUITE 101 SPENCER, IA 51301 (712) 264-3500 |
| 1649250390 | DR. NATHANIEL AMIEL MEYER M.D. Individual | Family Medicine | 116 E 11TH ST SUITE 101 SPENCER, IA 51301 (712) 264-3500 |
| 1942280193 | DR. BRIAN JOHN DVORAK M.D. Individual | Family Medicine | 116 E 11TH ST SUITE 101 SPENCER, IA 51301 (712) 264-3500 |
| 1144290313 | DR. DAVID PAUL ROBISON D.O. Individual | Family Medicine | 116 E 11TH ST SUITE 101 SPENCER, IA 51301 (712) 264-3500 |
| 1750396404 | NATALIE LYNN POTRAMENT NP Individual | Nurse Practitioner (Family) | 116 E 11TH ST SUITE 101 SPENCER, IA 51301 (712) 264-3500 |
| 1851409841 | JAMES L COENEN PHARMACIST Individual | Pharmacist | 116 E 11TH ST SPENCER, IA 51301 (712) 262-2343 |
| 1366553893 | DR. AMANDA E YOUNG DO Individual | Family Medicine | 116 E 11TH ST SUITE 101 SPENCER, IA 51301 (712) 264-3500 |
| 1225149628 | MERCY HEALTH SERVICES-IOWA CORP. Organization | Pharmacy (Community/Retail Pharmacy) | 116 E 11TH ST SPENCER, IA 51301 (712) 262-2343 |
| 1811099872 | MS. ANN MARIE FITZGIBBONS RPH Individual | Pharmacist | 116 E 11TH ST SPENCER, IA 51301 (712) 262-2343 |
| 1851453369 | ORAL & MAXILLOFACIAL SURGERY ASSOC PC Organization | Clinic/Center (Oral and Maxillofacial Surgery) | 116 E 11TH ST SUITE 201 SPENCER, IA 51301 (712) 262-7350 |
| 1588726996 | GREAT LAKES SURGERY CENTER, LC Organization | Clinic/Center (Ambulatory Surgical) | 116 E 11TH ST SUITE 202 SPENCER, IA 51301 (712) 262-7350 |
| 1578732848 | RENEW COSMETIC AND RECONSTRUCTIVE SURGERY, PC Organization | Surgery (Plastic and Reconstructive Surgery) | 116 E 11TH ST SUITE 203 SPENCER, IA 51301 (877) 264-8394 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902886567, enumerated in the NPI registry as an "organization" on January 19, 2006
The provider is located at 116 E 11th St Suite 101 Spencer, Ia 51301 and the phone number is (712) 264-3500
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 16D0385496 for a "physician office" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on January 19, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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