OrganizationActive
Story County Hospital
NPI 1023080504 · Family Medicine Physician · Nevada, IA
Provider details
- NPI number
- 1023080504
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kemberlee Packer, Credentialing Specialist(515) 382-7101
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
640 S 19th St
Nevada, IA 50201-2902
Phone: (515) 382-5413
Fax: (515) 382-7107
Street-level locationGet directions
Mailing address
640 S 19th St
Nevada, IA 50201-2902
Other names (DBA / former)
- Doing business as
- Nevada Medical Clinic
Registry dates
- Enumerated
- 2006-02-07
- Last updated
- 2017-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.