Individual provider Active NPI

Jeremy P Pepin, M.D.

  • Nephrology Physician
  • Council Bluffs, IA
National Provider Identifier
1073995973
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD-47297 Issued in IA
Practice address
103 North Ave Ste 8
Council Bluffs, IA 51503-1613
Phone
(712) 796-2545
Fax
(877) 895-5040
NPI assigned
Jun 26, 2015
Last updated
Jan 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 7563 NE
Nephrology Physician 207RN0300X MD-47297 IA Primary
Nephrology Physician 207RN0300X 30044 NE

Addresses

Primary practice location

103 North Ave Ste 8
Council Bluffs, IA 51503-1613

Mailing address

900 Woodbury Ave Ste 8B
Council Bluffs, IA 51503-7855
Phone (712) 796-2545

Other practice location 1

982055 Nebraska Medical Ctr
Omaha, NE 68198-2055
Phone (402) 559-7268

Other practice location 2

17410 Burke St Ste 105
Omaha, NE 68118-2250
Phone (531) 444-4757

Other practice location 3

900 Woodbury Ave Ste 8B
Council Bluffs, IA 51503-7855
Phone (712) 796-2545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200528000487 NE Practitioner - NephrologyPractitioner - Internal Medicine 0244547719 Reassigns benefits to 2 organizations
I20200528000630 IA Practitioner - NephrologyPractitioner - Internal Medicine 0244547719 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shenandoah Medical CenterGroup PAC ID 9436063237, 52 clinicians
Advanced Kidney Care, PLLCGroup PAC ID 2769830082, 5 clinicians
Montgomery County Memorial HospitalGroup PAC ID 9032015805, shared by 7 NPIs, 43 clinicians

Practice addresses (Care Compare)

1 Jack Foster Dr
Shenandoah, IA 51601-4586
Phone (712) 246-7240

103 N Ave
Suite 8
Council Bluffs, IA 51503-1613

2301 Eastern Ave
Red Oak, IA 51566-1300
Phone (712) 623-7000

300 Pershing Ave
Shenandoah, IA 51601-2355
Phone (712) 246-1230

800 Mercy Dr
Council Bluffs, IA 51503-3128
Phone (712) 328-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7563NEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cass County Memorial Hospital CurrentSince Nov 20, 2025 Accepting new patients
Cass County Memorial Hospital CurrentSince Nov 20, 2025 Accepting new patients
Advanced Kidney Care PLLC Multi-Specialty CurrentSince Oct 26, 2023 Accepting new patients
Montgomery County Memorial Hospital Multi-Specialty CurrentSince Aug 1, 2024 Accepting new patients
Montgomery County Memorial Hospital Current Accepting new patients
Shenandoah Medical Center CurrentSince Sep 1, 2024 Accepting new patients
Shenandoah Medical Center Multi-Specialty Current Accepting new patients
Shenandoah Medical Center Multi-Specialty Current Accepting new patients
Montgomery County Memorial Hospital CurrentSince Aug 1, 2024 Accepting new patients
Ovc Physician Partners, LLC Multi-Specialty CurrentSince Jun 1, 2021 Accepting new patients
Cass County Memorial Hospital Multi-Specialty CurrentSince Nov 20, 2025 Accepting new patients
Shenandoah Medical Center Multi-Specialty CurrentSince Sep 1, 2024 Accepting new patients
Shenandoah Medical Center Past Accepting new patients

Locations

1501 E 10th St
Atlantic, IA 50022
Phone (712) 243-2850

103 North Ave
Ste 8
Council Bluffs, IA 51503
Phone (712) 220-2203

300 W Broadway
Ste 150
Council Bluffs, IA 51503
Phone (712) 388-0261

800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000

900 Woodbury Ave
Ste 8B
Council Bluffs, IA 51503
Phone (712) 328-2225

2301 Eastern Ave
Red Oak, IA 51566
Phone (712) 623-7270

1 Jack Foster Dr
Shenandoah, IA 51601
Phone (712) 246-7240

300 Pershing Ave
Shenandoah, IA 51601
Phone (712) 246-1230

1299 Farnam St
Ste 300
Omaha, NE 68102
Phone (402) 347-4191

17410 Burke St
Ste 105
Omaha, NE 68118
Phone (531) 444-4757

8303 W Dodge Rd
Omaha, NE 68114
Phone (402) 354-4000

Interoperability endpoints

  • Direct secure messaging: jeremy.pepin@omahaneph.directbygreenway.com

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1073995973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WOODBURY AVE STE 8B",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515037855",
            "telephone_number": "712-796-2545",
            "fax_number": "712-847-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 NORTH AVE STE 8",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515031613",
            "telephone_number": "712-796-2545",
            "fax_number": "877-895-5040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "982055 Nebraska Medical Ctr",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681982055",
            "country_code": "US",
            "telephone_number": "402-559-7268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17410 Burke St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681182250",
            "country_code": "US",
            "telephone_number": "531-444-4757",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Woodbury Ave Ste 8B",
            "address_purpose": "LOCATION",
            "city": "Council Bluffs",
            "state": "IA",
            "postal_code": "515037855",
            "country_code": "US",
            "telephone_number": "712-796-2545",
            "fax_number": "712-847-6095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEPIN",
        "first_name": "JEREMY",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-26",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "7563",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IA",
            "license": "MD-47297",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NE",
            "license": "30044",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

Verify at the official NPI Registry.