NICOLETTE MENKE
NPI 1154862977
Social Worker - Clinical in Rock Valley, IA

Active since March 13, 2017PECOS EnrolledAccepts Medicare Assignment
83.57/100
CMS Quality Rating
1905 10TH ST, ROCK VALLEY, IA 51247(712) 476-5245(712) 476-9621 Get Directions Write a Review

NPPES record last updated: May 26, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 26, 2017, Mar 13, 2017 (2 updates tracked since 2017).

About Nicolette Menke NPPES

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

NICOLETTE MENKE (NPI 1154862977) is an individual clinical provider in Rock Valley, Iowa and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Orange City Area Health System, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1154862977
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLETTE MENKE
Location Address1905 10TH STRock Valley, IA 51247-1630
Mailing AddressPo Box 163Rock Valley, IA 51247-0163 · (712) 476-5245 · Fax (712) 476-9621
Fax(712) 476-9621
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 13, 2017
Last NPPES UpdateMay 26, 20172 updates tracked since enumeration
✔ NPI 1154862977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1905 10TH ST, Rock Valley, IA 51247

Accepted 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

Nicolette Menke 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 ID9739456328
PECOS Enrollment IDI20170602000912
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 Nicolette Menke reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Counselor
1905 10TH ST
Rock Valley, IA 51247
  • Reassigned Medicare billing, Iowa enrollment
  • Medicare enrollment name: Creative Living Center PC
  • 7 clinicians in this Medicare group
Specialist
1000 LINCOLN CIRCLE SE, SUITE 200
Orange City, IA 51041
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1003886367 (Iowa)
  • 45 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

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

Orange City Area Health System

Critical Access Hospitals · Orange City, IA
OwnershipVoluntary non-profit - Other
CMS Certification Number161360
Location1000 Lincoln Circle SEOrange City, IA 51041 · Sioux County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51247 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
$0.00 typical visit price
range $52.96 – $161.40
Typical copayment $0.00 (range $13.24 – $40.35)
Most-billed visit code NA
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.

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.

83.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.07
Promoting Interoperability98
Improvement Activities40
Cost50.83

Other Providers at the Same Location NPPES 15

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

Social Worker
1905 10TH ST
ROCK VALLEY, IA 51247
Counselor
1905 10TH ST
ROCK VALLEY, IA 51247
Counselor
1905 10TH ST
ROCK VALLEY, IA 51247
Counselor (Mental Health)
1905 10TH ST
ROCK VALLEY, IA 51247
Social Worker (Clinical)
1905 10TH ST
ROCK VALLEY, IA 51247
Counselor (Mental Health)
1905 10TH ST
ROCK VALLEY, IA 51247
Counselor
1905 10TH ST
ROCK VALLEY, IA 51247
Counselor (Mental Health)
1905 10TH ST
ROCK VALLEY, IA 51247

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 Nicolette Menke's NPI number?

The NPI number for Nicolette Menke is 1154862977. It was assigned to this individual provider in the NPPES registry on March 13, 2017.

Where is Nicolette Menke located?

Nicolette Menke practices at 1905 10th St, Rock Valley, IA 51247. The listed phone number is (712) 476-5245.

What is Nicolette Menke's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Nicolette Menke enrolled in Medicare?

Yes. Nicolette Menke 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 Nicolette Menke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicolette Menke reassigns Medicare benefits to 2 organizations: Creative Living Center, P.C. (Rock Valley, IA) and Orange City Municipal Hospital (Orange 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 Nicolette Menke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicolette Menke accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Health and 3 other insurers list Nicolette Menke 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 Nicolette Menke affiliated with any hospitals?

According to CMS data, Nicolette Menke is affiliated with Orange City Area Health System.

When was this NPI record last updated?

The NPPES record for Nicolette Menke was last updated on May 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.