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CINDI S RULE ARNP
NPI 1003006610
Nurse Practitioner - Family in Ireton, IA

Active since July 30, 2007PECOS EnrolledAccepts Medicare Assignment
318 MAIN ST, IRETON, IA 51027(712) 278-1011(712) 278-1051 Get Directions Write a Review

NPPES record last updated: February 7, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Cindi S Rule Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CINDI S RULE ARNP (NPI 1003006610) is an individual family provider in Ireton, Iowa, licensed in Iowa (A-106000) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Hawarden Regional Healthcare, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1003006610
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCINDI S RULECredential: ARNP
Location Address318 MAIN STIreton, IA 51027-7749
Mailing AddressPo Box 71Hawarden, IA 51023-0071 · (712) 552-2498
Phone(712) 278-1011
Fax(712) 278-1051
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 30, 2007
Last NPPES UpdateFebruary 7, 2011
✔ NPI 1003006610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in IA · A-106000✔ Licensed in SD · CP 000510✔ Licensed in NE · 110899
318 MAIN ST, Ireton, IA 51027
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cindi S Rule Arnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860565132
PECOS Enrollment IDI20090114000114
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Cindi Rule reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hawarden Regional Healthcare Clinics LLC
Same address
Family Medicine
318 MAIN ST
Ireton, IA 51027
  • Reassigned Medicare billing, Iowa enrollment
  • 40 clinicians in this Medicare group
NPI 1801060306 (712) 278-1011
Hawarden Regional Healthcare
8.4 mi
Critical Access
1111 11TH ST
Hawarden, IA 51023
  • Reassigned Medicare billing, Iowa enrollment
  • 37 clinicians in this Medicare group
NPI 1841261104 (712) 551-3100
Avera Mckennan
16 mi
Rural Health
1100 S 10TH AVE, STE 100
Rock Rapids, IA 51246
  • Reassigned Medicare billing, Iowa and South Dakota enrollments
  • 71 clinicians in this Medicare group
NPI 1003389206 (712) 472-5300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
182 services82 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
68 services44 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
53 services40 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
30 services30 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
29 services29 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
21 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hawarden Regional Healthcare

Critical Access Hospitals · Hawarden, IA
OwnershipGovernment - Local
CMS Certification Number161311
Location1111 11th StreetHawarden, IA 51023 · Sioux County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51027 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers21 claims27 services$5.62 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers12 claims56 services$3.22 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
2 suppliers19 claims19 services$18.58 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers24 claims24 services$56.90 avg. paid by Medicare
Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605
DME-Drugs Administered Through DME · category DG006N
1 supplier19 claims1,140 services$4.47 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier20 claims20 services$26.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNA ANN WEYEN NP
Nurse Practitioner (Family)
318 MAIN ST
IRETON, IA 51027
Sioux County (712) 551-1011
HAWARDEN REGIONAL HEALTHCARE CLINICS LLC
Family Medicine
318 MAIN ST
IRETON, IA 51027
Sioux County (712) 278-1011

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cindi Rule's NPI number?

The NPI number for Cindi Rule is 1003006610. It was assigned to this individual provider in the NPPES registry on July 30, 2007.

Where is Cindi Rule located?

Cindi Rule practices at 318 Main St, Ireton, IA 51027. The listed phone number is (712) 278-1011.

What is Cindi Rule's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Cindi Rule enrolled in Medicare?

Yes. Cindi Rule is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Cindi Rule's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cindi Rule reassigns Medicare benefits to 3 organizations: Hawarden Regional Healthcare Clinics LLC (Ireton, IA), Hawarden Regional Healthcare (Hawarden, IA) and Avera Mckennan (Rock Rapids, IA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cindi Rule's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cindi Rule accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Sanford Health Plan and 1 other insurer list Cindi Rule as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Cindi Rule affiliated with any hospitals?

According to CMS data, Cindi Rule is affiliated with Hawarden Regional Healthcare.

When was this NPI record last updated?

The NPPES record for Cindi Rule was last updated on February 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.