Individual provider Active NPI

Michael A Jennings, MD

  • Family Medicine Physician
  • Sioux City, IA
National Provider Identifier
1528029170
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20752 Issued in IA
Practice address
4545 Sergeant Rd
Sioux City, IA 51106-4706
Phone
(712) 274-2400
Fax
(712) 274-1484
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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 20752 IA Primary

Addresses

Primary practice location

4545 Sergeant Rd
Sioux City, IA 51106-4706

Mailing address

200 Gold Cir Ste 120
Dakota Dunes, SD 57049-5501
Phone (605) 217-0700

Other identifiers 8

IdentifierTypeStateIssuer
28378OtherSDSIOUX VALLEY
47474OtherIAWELLMARK BCBS
143OtherMIDLANDS CHOICE
75305796351106B005OtherTRICARE
7777682MedicaidSD
1219675MedicaidIA
216089OtherSDDAKOTA CARE
75305796313MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, SD2 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
I20100630000354 IA Practitioner - Family Practice 0042341307 Reassigns benefits to 1 organization
I20191204000365 SD Practitioner - Family Practice 0042341307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health Care of Siouxland PLCGroup PAC ID 7315839412, 49 clinicians

Practice addresses (Care Compare)

345 W Steamboat Dr
Dakota Dunes, SD 57049-5287

4545 Sergeant Rd
Sioux City, IA 51106-4706
Phone (712) 274-2400

Hospital & facility affiliations

  • Unitypoint at Home Home health agency, Sioux City, IA, CCN 167159
  • Aveanna Healthcare Home health agency, Sioux City, IA, CCN 167305
  • St Croix Hospice Hospice, Spirit Lake, IA, CCN 161607
  • St Lukes Regional Medical Center Hospital, Sioux City, IA, CCN 160146
  • Embassy Rehab and Care Center Nursing home, Sergeant Bluff, IA, CCN 165145
  • Pioneer Valley Living And Rehab Nursing home, Sergeant Bluff, IA, CCN 165615

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions20
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20752IAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Care of Siouxland PLC Family Medicine CurrentSince Aug 1, 2002 Accepting new patients
Family Health Care of Siouxland LLC Family Medicine PastSince Dec 7, 2025 Accepting new patients

Locations

4230 Hamilton Blvd
Sioux City, IA 51104
Phone (712) 239-4300

814 Pierce St
Ste 300
Sioux City, IA 51101
Phone (712) 226-2600

4545 Sergeant Rd
Sioux City, IA 51106
Phone (712) 274-2400

200 Gold Cir
Ste 120
Dakota Dunes, SD 57049

345 W Steamboat Dr
Ste 401
Dakota Dunes, SD 57049
Phone (605) 217-2195

Interoperability endpoints

  • Direct secure messaging: michaeljennings@fhcs.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Embassy Rehab and Care CenterSergeant Bluff, IA, CCN 165145 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Sep 1, 2018
Sep 1, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1528029170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GOLD CIR STE 120",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495501",
            "telephone_number": "605-217-0700",
            "fax_number": "605-217-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 SERGEANT RD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064706",
            "telephone_number": "712-274-2400",
            "fax_number": "712-274-1484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "20752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIOUX VALLEY",
            "identifier": "28378",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "47474",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "143",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "75305796351106B005",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7777682",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1219675",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTA CARE",
            "identifier": "216089",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "75305796313",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.