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NICOLE SHEFFIELD ARNP
NPI 1124583281
Nurse Practitioner - Family in Mason City, IA

Active since February 04, 2019PECOS EnrolledAccepts Medicare Assignment
87.05/100
CMS Quality Rating
250 S CRESCENT DR, MASON CITY, IA 50401(641) 494-5300(641) 494-5321 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 13, 2024, Aug 2, 2020, Mar 19, 2019 and 1 more (4 updates tracked since 2019).

About Nicole Sheffield Arnp NPPES

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

NICOLE SHEFFIELD ARNP (NPI 1124583281) is an individual family provider in Mason City, Iowa, licensed in Iowa (A128252) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Mercyone North Iowa Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1124583281
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE SHEFFIELDCredential: ARNP
Location Address250 S CRESCENT DRMason City, IA 50401-2926
Mailing Address250 S Crescent DrMason City, IA 50401-2926 · (641) 494-5300 · Fax (641) 494-5321
Phone(641) 494-5300
Fax(641) 494-5321
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 4, 2019
Last NPPES UpdateOctober 27, 20254 updates tracked since enumeration
NPPES CertifiedOctober 27, 2025
✔ NPI 1124583281 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
License✔ Licensed in IA · A128252
250 S CRESCENT DR, Mason City, IA 50401
Open in Google Maps ↗

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

Nicole Sheffield 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 ID345575593
PECOS Enrollment IDI20190711000109
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

2

Medicare enrollment records show Nicole Sheffield reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mason City Clinic PC
Same address
Otolaryngology
250 S CRESCENT DR
Mason City, IA 50401
  • Reassigned Medicare billing, Iowa enrollment
  • 65 clinicians in this Medicare group
NPI 1043254055 (800) 622-1411
North Iowa Mercy Clinics
Same address
Cardiovascular Disease
250 S CRESCENT DR STE 200
Mason City, IA 50401
  • Reassigned Medicare billing, Iowa enrollment
  • 420 clinicians in this Medicare group
NPI 1801147269 (641) 494-5300

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 6

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
149 services56 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
70 services25 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
51 services48 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
37 services24 patients
Nursing facility discharge day management, 30 minutes or less 99315
Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.
29 services28 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
29 services29 patients

Hospital Affiliations CMS Care Compare 5

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

Mercyone North Iowa Medical Center

Acute Care Hospitals · Mason City, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160064
Location1000 Fourth Street SWMason City, IA 50401 · Cerro Gordo County
Emergency services Birthing friendly

Hancock County Health System

Critical Access Hospitals · Britt, IA
OwnershipGovernment - Local
CMS Certification Number161307
Location532 1st St NWBritt, IA 50423 · Hancock County
Emergency services

Franklin General Hospital

Critical Access Hospitals · Hampton, IA
OwnershipGovernment - Local
CMS Certification Number161308
Location1720 Central Avenue EastHampton, IA 50441 · Franklin County
Emergency services

Mitchell County Regional Health

Critical Access Hospitals · Osage, IA
OwnershipGovernment - Local
CMS Certification Number161323
Location616 North Eighth StreetOsage, IA 50461 · Mitchell County
Emergency services

Kossuth Regional Health Center

Critical Access Hospitals · Algona, IA
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number161353
Location1515 South Phillips StreetAlgona, IA 50511 · Kossuth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50401 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.58
Promoting Interoperability82.55
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$21.30 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers17 claims17 services$7.79 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 supplier12 claims12 services$119.41 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers14 claims2,439 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers11 claims11 services$18.86 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 20

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

LISA HOLT PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
250 S CRESCENT DR
MASON CITY, IA 50401
Cerro Gordo County (641) 494-5170
DR. RENE RECINOS M.D., PHD
Plastic Surgery
250 S CRESCENT DR
MASON CITY, IA 50401
Cerro Gordo County (641) 494-5360
DR. ANGELA KAYE HARVEY AU.D.
Audiologist
250 S CRESCENT DR, #100
MASON CITY, IA 50401
Cerro Gordo County (641) 494-5180
DR. MICHAEL W CRANE M.D.
Orthopaedic Surgery
250 S CRESCENT DR
MASON CITY, IA 50401
Cerro Gordo County (641) 494-5210
KAITLYN ELIZABETH MCDERMITT PA-C
Physician Assistant
250 S CRESCENT DR
MASON CITY, IA 50401
Cerro Gordo County (641) 494-5400
TRISHA LYNN TIBBITTS ARNP
Nurse Practitioner (Family)
250 S CRESCENT DR
MASON CITY, IA 50401
Cerro Gordo County (641) 494-5360
MASON CITY CLINIC PC
Otolaryngology
250 S CRESCENT DR
MASON CITY, IA 50401
Cerro Gordo County (800) 622-1411
DR. BYRON T BEASLEY MD
Internal Medicine (Cardiovascular Disease)
250 S CRESCENT DR
MASON CITY, IA 50401
Cerro Gordo County (641) 494-5300

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 Nicole Sheffield's NPI number?

The NPI number for Nicole Sheffield is 1124583281. It was assigned to this individual provider in the NPPES registry on February 4, 2019.

Where is Nicole Sheffield located?

Nicole Sheffield practices at 250 S Crescent Dr, Mason City, IA 50401. The listed phone number is (641) 494-5300.

What is Nicole Sheffield's specialty?

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

Is Nicole Sheffield enrolled in Medicare?

Yes. Nicole Sheffield 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 Nicole Sheffield's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Sheffield reassigns Medicare benefits to 2 organizations: Mason City Clinic PC (Mason City, IA) and North Iowa Mercy Clinics (Mason City, 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 Nicole Sheffield's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Sheffield accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Health and 2 other insurers list Nicole Sheffield 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 Nicole Sheffield affiliated with any hospitals?

According to CMS data, Nicole Sheffield is affiliated with Mercyone North Iowa Medical Center, Hancock County Health System, Franklin General Hospital, Mitchell County Regional Health and Kossuth Regional Health Center.

When was this NPI record last updated?

The NPPES record for Nicole Sheffield was last updated on October 27, 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.