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MADISON ANN ALBERT ARNP
NPI 1043945645
Nurse Practitioner in Waverly, IA

Active since July 19, 2022PECOS EnrolledAccepts Medicare Assignment
312 9TH ST SW STE 3400, WAVERLY, IA 50677(319) 883-1452(319) 287-5832 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 12, 2025, Jan 16, 2023, Jul 19, 2022 (3 updates tracked since 2022).

About Madison Ann Albert Arnp NPPES

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

MADISON ANN ALBERT ARNP (NPI 1043945645) is an individual nurse practitioner in Waverly, Iowa, licensed in Iowa (A170084) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Sartori Memorial Hospital, Inc, and maintains a secondary practice location in Traer.

NPPES Registry Identity

NPI1043945645
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMADISON ANN ALBERTCredential: ARNP
Location Address312 9TH ST SW STE 3400Waverly, IA 50677-2929
Mailing AddressPo Box 2758Waterloo, IA 50704-2758 · (319) 235-5390
Phone(319) 883-1452
Fax(319) 287-5832
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 19, 2022
Last NPPES UpdateDecember 12, 20253 updates tracked since enumeration
NPPES CertifiedDecember 12, 2025
✔ NPI 1043945645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IA · A170084
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedFamily MedicineTaxonomy 207Q00000X · License A170084 (IA)
312 9TH ST SW STE 3400, Waverly, IA 50677
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Secondary Practice Location 1

Location 1200 Walnut StTraer, IA 50675-1142 · Phone (319) 478-8198

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Wellmark Health Plan of Iowa, Inc..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

Madison Ann Albert 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 ID5890178412
PECOS Enrollment IDI20220815003025
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 Reassignment

Medicare enrollment records show Madison Albert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cedar Valley Medical Specialists PC
19 mi
Radiology
4006 JOHNATHAN ST
Waterloo, IA 50701
  • Reassigned Medicare billing, Iowa enrollment
  • 49 clinicians in this Medicare group
NPI 1841245586 (319) 236-2700

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 5

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.
215 services103 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
78 services78 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.
75 services53 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
44 services44 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
30 services22 patients

Hospital Affiliations CMS Care Compare 3

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

Sartori Memorial Hospital, Inc

Acute Care Hospitals · Cedar Falls, IA
OwnershipVoluntary non-profit - Church
CMS Certification Number160040
Location515 College StreetCedar Falls, IA 50613 · Black Hawk County
Emergency services

Mercyone Waterloo Medical Center

Acute Care Hospitals · Waterloo, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number160067
Location3421 West Ninth StreetWaterloo, IA 50702 · Black Hawk County
Emergency services Birthing friendly

Allen Hospital

Acute Care Hospitals · Waterloo, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160110
Location1825 Logan AvenueWaterloo, IA 50703 · Black Hawk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50677 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.

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.

CEDAR VALLEY MEDICAL SPECIALISTS PC
Durable Medical Equipment & Medical Supplies
312 9TH ST SW STE 3400
WAVERLY, IA 50677
Bremer County (319) 483-4029
DENISEE TISH LOYOLA
Nurse Practitioner
312 9TH ST SW STE 3400
WAVERLY, IA 50677
Bremer County (319) 236-1911

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 Madison Albert's NPI number?

The NPI number for Madison Albert is 1043945645. It was assigned to this individual provider in the NPPES registry on July 19, 2022.

Where is Madison Albert located?

Madison Albert practices at 312 9th St SW Ste 3400, Waverly, IA 50677. The listed phone number is (319) 883-1452.

What is Madison Albert's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Madison Albert enrolled in Medicare?

Yes. Madison Albert 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 organization bills Medicare for Madison Albert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madison Albert reassigns Medicare benefits to Cedar Valley Medical Specialists PC (Waterloo, IA). The 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 Madison Albert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madison Albert accept?

Health plans from Medica and Wellmark Health Plan of Iowa, Inc. list Madison Albert 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 Madison Albert affiliated with any hospitals?

According to CMS data, Madison Albert is affiliated with Sartori Memorial Hospital, Inc, Mercyone Waterloo Medical Center and Allen Hospital.

When was this NPI record last updated?

The NPPES record for Madison Albert was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.