Individual provider Active NPI

Kylie J Cowdin, M.D.

  • Family Medicine Physician
  • Sioux City, IA
National Provider Identifier
1417516410
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R-11635 Issued in IA
Practice address
2501 Pierce St
Sioux City, IA 51104-3725
Phone
(712) 294-5000
Fax
(712) 294-5091
NPI assigned
Jun 12, 2019
Last updated
Jun 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R-11635 IA Primary

Addresses

Primary practice location

2501 Pierce St
Sioux City, IA 51104-3725

Mailing address

2501 Pierce St
Sioux City, IA 51104-3725
Phone (712) 294-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, MN2 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
I20200813000480 IA Practitioner - Family Practice 1557695053
I20221209000894 MN Practitioner - Family Practice 1557695053 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Creighton University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Health Care IncGroup PAC ID 3476447541, 156 clinicians
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

1216 Ryans Rd
Worthington, MN 56187-1781
Phone (507) 372-6522

2020 Hospital Drive
Suite 2
Windom, MN 56101-1761
Phone (507) 831-1703

2150 Hospital Dr
Windom, MN 56101-1287
Phone (507) 831-2400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Sep 1, 2022 Accepting new patients
Avera McKennan Current Accepting new patients
Rural Health Care, Inc CurrentSince Dec 22, 2022 Accepting new patients
Rural Health Care, Inc Family Medicine Current Accepting new patients
Rural Health Care, Inc CurrentSince Dec 22, 2022 Accepting new patients
Avera McKennan Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
Windom Area Hospital Past Accepting new patients

Locations

300 S Bruce St
Ste 100
Marshall, MN 56258

2020 Hospital Dr
Ste 2
Windom, MN 56101
Phone (507) 831-1703

820 2nd Ave N
Windom, MN 56101
Phone (507) 831-1370

1216 Ryans Rd
Ste 3
Worthington, MN 56187
Phone (507) 372-6522

Interoperability endpoints

  • Direct secure messaging: kylie.cowdin@avera.sdhealthlink.net

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1417516410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 PIERCE ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043725",
            "telephone_number": "712-294-5000",
            "fax_number": "712-294-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 PIERCE ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043725",
            "telephone_number": "712-294-5000",
            "fax_number": "712-294-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWDIN",
        "first_name": "KYLIE",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "R-11635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.