Individual provider Active NPI

Linda Kay Gehrke, ARNP

  • Family Nurse Practitioner
  • Hubbard, IA
National Provider Identifier
1720084387
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
036438 Issued in IA
Practice address
405 S State Street
Hubbard Medical Clinic
Hubbard, IA 50122-0487
Phone
(641) 864-3301
Fax
(641) 864-3304
NPI assigned
Jun 28, 2005
Reactivated
Dec 4, 2007
Last updated
Jun 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 036438 IA Primary

Addresses

Primary practice location

405 S State Street
Hubbard Medical Clinic
Hubbard, IA 50122-0487

Mailing address

PO Box 487
Hubbard, IA 50122-0487
Phone (641) 864-3301

Other identifiers 3

IdentifierTypeStateIssuer
4422584MedicaidIA
I17688OtherIAPROVIDER GROUP
I17689OtherIAMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050314000592 IA Practitioner - Nurse Practitioner 6406801380 Practice locations: Hubbard, IA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
036438IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Linda Kay Gehrke Family CurrentSince Jun 29, 2006 Accepting new patients
Hubbard Integrative Family Medicine, PLLC Family CurrentSince Jan 12, 2025 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1720084387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 487",
            "city": "HUBBARD",
            "state": "IA",
            "postal_code": "501220487",
            "telephone_number": "641-864-3301",
            "fax_number": "641-864-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S STATE STREET",
            "address_2": "HUBBARD MEDICAL CLINIC",
            "city": "HUBBARD",
            "state": "IA",
            "postal_code": "501220487",
            "telephone_number": "641-864-3301",
            "fax_number": "641-864-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEHRKE",
        "first_name": "LINDA",
        "middle_name": "KAY",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-28",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "036438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4422584",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER GROUP",
            "identifier": "I17688",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "I17689",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hubbard, IA

Sources for this page

Verify at the official NPI Registry.