Madrid Family Practice Clinic
NPI 1508882705ActiveOrganization· Nurse Practitioner, Family· Madrid, IA
Nurse Practitioner, Family in Madrid, Iowa, registered in NPPES in July 2006. The authorized official on file is Mikaela Kienitz, Ceo. Enrolled in Medicare as part a provider - rural health clinic and part b supplier - clinic/group practice.
Overview
| NPI | 1508882705 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 14, 2006 |
| Last updated in NPPES | Jul 1, 2026 |
| Certified by provider | Jul 1, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Clinic/Center, Rural Health | 261QR1300X | — | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Rural Health Clinic (IA); Part B Supplier - Clinic/Group Practice (IA) |
|---|
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