Individual provider Active NPI

Petra Lamfers, ARNP

  • Nurse Practitioner
  • Clear Lake, IA
National Provider Identifier
1447368279
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A-080047 Issued in IA
Practice address
401 S 15TH St
Clear Lake, IA 50428-2303
Phone
(641) 357-7442
Fax
(641) 357-3070
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A-080047 IA Primary

Addresses

Primary practice location

401 S 15TH St
Clear Lake, IA 50428-2303

Mailing address

621 S Illinois Ave
Suite 103
Mason City, IA 50401-5489
Phone (641) 494-3041

Other identifiers 2

IdentifierTypeStateIssuer
0429704MedicaidIA
37434OtherIAWELLMARK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A-080047IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Iowa Mercy Clinics CurrentSince Feb 1, 2010 Accepting new patients
North Iowa Mercy Clinics Current Accepting new patients
North Iowa Mercy Clinics CurrentSince Feb 1, 2010 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

418 N Shore Dr
Clear Lake, IA 50428
Phone (641) 357-5050

401 S 15th St
Clear Lake, IA 50428
Phone (641) 357-3393

621 S Illinois Ave
Ste 103
Mason City, IA 50401

910 N Eisenhower Ave
Mason City, IA 50401
Phone (641) 422-5437

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1447368279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S ILLINOIS AVE",
            "address_2": "SUITE 103",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504015489",
            "telephone_number": "641-494-3041",
            "fax_number": "641-494-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S 15TH ST",
            "city": "CLEAR LAKE",
            "state": "IA",
            "postal_code": "504282303",
            "telephone_number": "641-357-7442",
            "fax_number": "641-357-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMFERS",
        "first_name": "PETRA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A-080047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0429704",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "37434",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clear Lake, IA

Sources for this page

Verify at the official NPI Registry.