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NICHOLAS RAINS PA-C
NPI 1124418363
Physician Assistant in Grundy Center, IA

Active since January 26, 2015PECOS EnrolledAccepts Medicare Assignment
101 E J AVE STE 120, GRUNDY CENTER, IA 50638(319) 824-6945 Get Directions Write a Review

NPPES record last updated: November 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 28, 2024, Nov 29, 2022, Jan 18, 2022 and 1 more (4 updates tracked since 2018).

About Nicholas Rains Pa-c NPPES

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

NICHOLAS RAINS PA-C (NPI 1124418363) is an individual physician assistant in Grundy Center, Iowa, licensed in Iowa (092493) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS, is affiliated with Mercyone Des Moines Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124418363
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameNICHOLAS RAINSCredential: PA-C
Location Address101 E J AVE STE 120Grundy Center, IA 50638-2004
Mailing Address101 E J Ave Ste 120Grundy Center, IA 50638-2004 · (815) 973-2959
Phone(319) 824-6945
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 26, 2015
Last NPPES UpdateNovember 29, 20224 updates tracked since enumeration
NPPES CertifiedNovember 29, 2022
✔ NPI 1124418363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IA · 092493
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License AT.004208 (OH)
101 E J AVE STE 120, Grundy Center, IA 50638
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Secondary Practice Locations 2

Location 15950 University Ave Ste 105West Des Moines, IA 50266-7756 · Phone (515) 875-9070
Location 2101 E J Ave Ste 120Grundy Center, IA 50638-2004 · Phone (319) 824-6945

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicholas Rains Pa-c 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 ID9032469127
PECOS Enrollment IDI20180911003068
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.

Areas of Expertise CMS Part B claims 4

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 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.
80 services77 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
17 services15 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
13 services13 patients
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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Mercyone Des Moines Medical Center

Acute Care Hospitals · Des Moines, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160083
Location1111 6th AveDes Moines, IA 50314 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50638 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
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
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 4

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
7 suppliers24 claims37 services$6.26 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier22 claims22 services$41.72 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier24 claims24 services$91.45 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier22 claims22 services$31.70 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.

SAMANTHA MARIE BANSER BISSEN DO
Family Medicine
101 E J AVE STE 120
GRUNDY CENTER, IA 50638
Grundy County (319) 824-6945
UNITYPOINT HEALTH - MARSHALLTOWN
Clinic/Center (Rural Health)
101 E J AVE STE 120
GRUNDY CENTER, IA 50638
Grundy County (319) 824-6945

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 Nicholas Rains's NPI number?

The NPI number for Nicholas Rains is 1124418363. It was assigned to this individual provider in the NPPES registry on January 26, 2015.

Where is Nicholas Rains located?

Nicholas Rains practices at 101 E J Ave Ste 120, Grundy Center, IA 50638. The listed phone number is (319) 824-6945.

What is Nicholas Rains's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicholas Rains enrolled in Medicare?

Yes. Nicholas Rains 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.

What insurance does Nicholas Rains accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Nicholas Rains 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 Nicholas Rains affiliated with any hospitals?

According to CMS data, Nicholas Rains is affiliated with Mercyone Des Moines Medical Center.

When was this NPI record last updated?

The NPPES record for Nicholas Rains was last updated on November 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.