Midwest Medical Family Practice and Mental Health LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

MIDWEST MEDICAL FAMILY PRACTICE AND MENTAL HEALTH LLC

Practice address

1524 10TH Ave N
Humboldt, IA 50548-1070

Phone

(515) 890-0156

Fax

(515) 332-8811

NPI assigned

Jan 12, 2021

Last updated

Jan 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Vought, ARNPNPI 1598284796

Title

Owner

Phone

(515) 890-0156

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Jennifer Dawn Vought, ARNP

  • Nurse Practitioner
  • Humboldt, IA
  • NPI 1598284796
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1700475902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 10TH AVE N",
            "city": "HUMBOLDT",
            "state": "IA",
            "postal_code": "505481070",
            "telephone_number": "515-890-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 10TH AVE N",
            "city": "HUMBOLDT",
            "state": "IA",
            "postal_code": "505481070",
            "telephone_number": "515-890-0156",
            "fax_number": "515-332-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST MEDICAL FAMILY PRACTICE AND MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "VOUGHT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-890-0156",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Lyons, ARNP
• Haley Nicole Main
• Sue A Malloy, ARNP
• Robert Miles McPeak, PA-C
• Mentalee Health and Wellness
• Mitchell Nielsen, DC
• Sarah Nielsen
• North Central Iowa Mental Health Center Inc (Berryhill Center)
• North Central Iowa Mental Health Center, Inc (UnityPoint Health-Berryhill Center)
• North Central Iowa Mental Health Center, Inc (UnityPoint Health-Berryhill Center)

• Nurse Practitioner in Humboldt, IA
• Providers in Humboldt, IA by specialty
• Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.