NPIMap

Individual provider Active NPI

David A Minnick, MD

  • Family Medicine Physician
  • Missouri Valley, IA
National Provider Identifier
1891897997
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-56156 Issued in IA
Practice address
809 Elm St
Missouri Valley, IA 51555-1140
Phone
(712) 642-2794
Fax
(712) 642-9338
NPI assigned
Sep 1, 2006
Last updated
Feb 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19206 NE
Family Medicine Physician 207Q00000X MD-56156 IA Primary

Addresses

Primary practice location

809 Elm St
Missouri Valley, IA 51555-1140

Mailing address

809 Elm St
Missouri Valley, IA 51555-1140
Phone (712) 642-2794

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041116001058 NE Practitioner - Family Practice 1153385448 Reassigns benefits to 3 organizations
I20260211002350 IA Practitioner - Family Practice 1153385448 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 1992
Medicare assignment
May accept Medicare assignment
Group practices
Jennie M Melham Memorial Medical Center IncGroup PAC ID 5799766440, shared by 3 NPIs, 8 clinicians

Practice addresses (Care Compare)

145 Memorial Dr
Broken Bow, NE 68822-1378
Phone (308) 872-2486

518 Lincoln Way
Woodbine, IA 51579-1238
Phone (712) 647-2566

809 Elm St
Missouri Valley, IA 51555-1140
Phone (712) 642-2794

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions77
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-56156IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Health Community Memorial Hospital of Missouri Valley, Iowa Family Medicine CurrentSince Jan 20, 2026 Accepting new patients
Alegent Health Community Memorial Hospital of Missouri Valley, Iowa CurrentSince Jan 20, 2026 Accepting new patients
Jennie M Melham Memorial Medical Center Inc CurrentSince Sep 15, 2018 Accepting new patients
Alegent Health Community Memorial Hospital of Missouri Valley, Iowa CurrentSince Jan 20, 2026 Accepting new patients
Jennie M Melham Memorial Medical Center Inc Current Accepting new patients
Central Nebraska Medical Clinic PC Family Medicine CurrentSince Jan 9, 1995 Accepting new patients
Central Nebraska Medical Clinic at Sargent Family Medicine CurrentSince Jan 9, 1995 Accepting new patients
Alegent Creighton Clinic Family Medicine Past Accepting new patients
VSL Broken Bow LLC Past Accepting new patients

Locations

809 Elm St
Missouri Vly, IA 51555
Phone (712) 642-2794

631 N 8th St
Mo Valley, IA 51555
Phone (712) 642-2045

300 N 2nd St
Oneill, NE 68763
Phone (402) 336-2900

Interoperability endpoints

  • Direct secure messaging: david.minnick@cnmcpc.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Jennie M Melham Memorial Medical CenterBroken Bow, NE, CCN 281365 Hospital Contracted Managing Employee
Operational/Managerial Control		 Jan 1, 2023
Jan 1, 2023
Jennie M Melham Memorial Medical CenterBroken Bow, NE, CCN 28Z365 Hospital Contracted Managing Employee
Operational/Managerial Control		 Jan 1, 2023
Jan 1, 2023

Owned or controlled facilities with NPI records 2

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

Organizations & group practices 10

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.

Hospital & facility affiliations 9

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1891897997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 ELM ST",
            "city": "MISSOURI VALLEY",
            "state": "IA",
            "postal_code": "515551140",
            "telephone_number": "712-642-2794",
            "fax_number": "712-642-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 ELM ST",
            "city": "MISSOURI VALLEY",
            "state": "IA",
            "postal_code": "515551140",
            "telephone_number": "712-642-2794",
            "fax_number": "712-642-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINNICK",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "19206",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD-56156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri Valley, IA

Sources for this page

Verify at the official NPI Registry.