Individual provider

Alec Antanaitis

Gerontology Nurse Practitioner Medicare enrolled

Alec Antanaitis is a Gerontology Nurse Practitioner in Jefferson, IA, registered under NPI 1104715770.

Getting there

The practice address on file is 1000 W LINCOLN WAY, Jefferson, IA 50129. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1000 W LINCOLN WAY, Jefferson, IA 50129 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
H184694 IA Gerontology Nurse Practitioner primary

This provider holds licence H184694 issued in IA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
4183114630

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Gerontology covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LG0600X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Gerontology

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104715770 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 30, 2025
Last updatedMar 13, 2026
StatusActive
Sole proprietorNo
Practice address 1000 W LINCOLN WAY
Jefferson, IA 50129
(515) 386-2114
Fax (515) 386-8899
Mailing address 1002 W LINCOLN WAY
Jefferson, IA 50129
This record was updated on Mar 13, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1104715770 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 7 1 5 7 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 5 1 1 7 5

Sum = 50 · next multiple of 10 = 50 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104715770?
NPI 1104715770 is the National Provider Identifier assigned to Alec Antanaitis in Jefferson, IA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Gerontology cover?
Definition to come...
How do I contact Alec Antanaitis?
The phone number on file with NPPES is (515) 386-2114, last updated Mar 13, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Alec Antanaitis accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104715770 a valid number?
Yes. 1104715770 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.