Hubbard Integrative Family Medicine, PLLC
Organization Active NPI Family Nurse Practitioner · Hubbard, IA
NPI 1821808338 · NPPES record last updated Jan 8, 2025
Key facts
- NPI
- 1821808338
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- Legal business name
- HUBBARD INTEGRATIVE FAMILY MEDICINE, PLLC
- Practice address
- 405 S State St
Hubbard, IA 50122-9501 - Phone
- (641) 864-3301
- Fax
- (641) 864-3304
- NPI assigned
- Jan 8, 2025
- Organization subpart
- No
Authorized official
- Name
- Kendra Veld
- Title
- Office Manager
- Phone
- (641) 864-3301
Practitioners 3
-
Jennifer Kaye Lange Koch, ARNP
-
Linda Kay Gehrke, ARNP
-
Sara Elizabeth Ann Hon, ARNP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D0382767 | Hubbard Integrative Family Medicine | Certificate of waiver | Feb 19, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250210001814 | IA | Part B Supplier - Clinic/Group Practice | 8921538752 |
Receives reassigned benefits from 1 practitioner Practice locations: Hubbard, IA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | Yes |
Addresses
Primary practice location
405 S State St
Hubbard, IA 50122-9501
Mailing address
PO Box 487
Hubbard, IA 50122-0487
Phone (641) 864-3301
Other providers in Hubbard, IA
- Ellsworth Municipal Hospital
- Linda Kay Gehrke
- Brandi Lin Hill
- Sara Elizabeth Ann Hon
- Hubbard Care Center, Inc.
- Hubbard Radcliffe
- Jennifer Kaye Lange Koch
- Linda Kay Gehrke
All providers in Hubbard, IA · Family Nurse Practitioner in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.