Organization Active NPI

Nick Hildreth Memorial Clinic LLC

  • Family Nurse Practitioner
  • Rockwell City, IA
National Provider Identifier
1689041329
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
NICK HILDRETH MEMORIAL CLINIC LLC
Practice address
401 Court Street
Rockwell City, IA 50579-1534
Phone
(712) 297-2026
Fax
(712) 297-2019
NPI assigned
Aug 28, 2015
Last updated
Nov 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Authorized official

Name
Mrs. Kylie Jane Hildreth-Ruthmeier, ARNP
Title
Arnp/Owner
Phone
(712) 297-2026

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU

Addresses

Primary practice location

401 Court Street
Rockwell City, IA 50579-1534

Mailing address

401 Court Street
Rockwell City, IA 50579-1534
Phone (712) 297-2026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151001001165 IA Part B Supplier - Clinic/Group Practice 6204144827 Receives reassigned benefits from 2 practitioners
Practice locations: Rockwell City, IA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2101751Nick Hildreth Memorial Clinic LLC401 Court Street, Rockwell City, IA 50579Certificate of waiverSep 8, 2027

National Provider Directory

National Provider Directory

Locations

401 Court St
Rockwell City, IA 50579
Phone (712) 297-2026

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1689041329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 COURT STREET",
            "city": "ROCKWELL CITY",
            "state": "IA",
            "postal_code": "505791534",
            "telephone_number": "712-297-2026",
            "fax_number": "712-297-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 COURT STREET",
            "city": "ROCKWELL CITY",
            "state": "IA",
            "postal_code": "505791534",
            "telephone_number": "712-297-2026",
            "fax_number": "712-297-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICK HILDRETH MEMORIAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-28",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "HILDRETH-RUTHMEIER",
        "authorized_official_first_name": "KYLIE",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "ARNP/OWNER",
        "authorized_official_telephone_number": "712-297-2026",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwell City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.