Active NPI
Elim DPC PLLC
- Primary Care Clinic/Center
- Indianola, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- ELIM DPC PLLC
- Practice address
- 909 E 2ND Ave Ste G
Indianola, IA 50125-2892 - Phone
- (515) 316-4128
- NPI assigned
- Mar 12, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Devault, ARNP
- Title
- Owner
- Phone
- (515) 316-4128
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | |||
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
909 E 2ND Ave Ste G
Indianola, IA 50125-2892
Mailing address
112 S 19TH CT
Indianola, IA 50125-4725
Phone (515) 316-4128
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D2343982 | Elim DPC | Certificate of waiver | May 13, 2028 |
National Provider Directory
National Provider DirectoryLocations
909 E 2nd Ave
Ste G
Indianola, IA 50125
Phone (515) 316-4128
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Centerville, IA
- NPI 1306218565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773273600000",
"number": "1134076797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 S 19TH CT",
"city": "INDIANOLA",
"state": "IA",
"postal_code": "501254725",
"telephone_number": "515-316-4128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 E 2ND AVE STE G",
"city": "INDIANOLA",
"state": "IA",
"postal_code": "501252892",
"telephone_number": "515-316-4128"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELIM DPC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-12",
"last_updated": "2026-03-12",
"certification_date": "2026-03-12",
"status": "A",
"authorized_official_last_name": "DEVAULT",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "515-316-4128",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianola, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.