Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Alec Marshall Antanaitis

Individual provider Gerontology Nurse Practitioner · NPI 1104715770

Mr. Alec Marshall Antanaitis is a Nurse Practitioner in Jefferson, Iowa. Qualified in 2025, 1 year ago. Practices with Greene County Medical Center, a 15-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
1
Licensed in
IA
In the registry since
2025

Practice location Address checks out

1000 W Lincoln Way
Jefferson, IA 50129-1685
Phone: (515) 386-2114
Fax: (515) 386-8899
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence H184694 (IA)

Record details

NPI number1104715770
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 30, 2025
Last updated in NPPESMarch 13, 2026
Certification dateMarch 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Greene County Medical Center — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount