NIKKI NIEWOLD ZARLING MD
NPI 1154950806
Internal Medicine in Aurora, CO

Active since April 05, 2020PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
1635 AURORA CT, AURORA, CO 80045(720) 848-0000 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 22, 2024, Nov 3, 2022, Apr 5, 2020 (3 updates tracked since 2020).

About Nikki Niewold Zarling Md NPPES

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

NIKKI NIEWOLD ZARLING MD (NPI 1154950806) is an individual internal medicine provider in Aurora, Colorado, licensed in Colorado (DR.0073497) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (2020).

NPPES Registry Identity

NPI1154950806
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameNIKKI NIEWOLD ZARLINGCredential: MD
Location Address1635 AURORA CTAurora, CO 80045-2541
Mailing AddressPo Box 110429Aurora, CO 80042-0429
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2020
Enumeration DateApril 5, 2020
Last NPPES UpdateAugust 29, 20243 updates tracked since enumeration
NPPES CertifiedAugust 29, 2024
✔ NPI 1154950806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in CO · DR.0073497✔ Licensed in WA · MD61336848
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License MD61336848 (WA)
1635 AURORA CT, Aurora, CO 80045

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

Nikki Niewold Zarling Md 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 ID9931522083
PECOS Enrollment IDI20240727000288
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 Nikki Zarling reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
12605 E 16TH AVE, UNIVERSITY OF COLORADO HOSPITAL
Aurora, CO 80045
  • Reassigned Medicare billing, Colorado enrollment
  • 4,283 clinicians in this Medicare group
Anesthesiology
701 5TH AVE, SUITE 700
Seattle, WA 98104
  • Reassigned Medicare billing, Washington enrollment
  • 4,364 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.

Areas of Expertise CMS Part B claims

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.
21 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80045 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

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.

Obstetrics & Gynecology
1635 AURORA CT
AURORA, CO 80045
Colon & Rectal Surgery
1635 AURORA CT
AURORA, CO 80045
Physician Assistant (Surgical)
1635 AURORA CT
AURORA, CO 80045
Physician Assistant (Surgical)
1635 AURORA CT
AURORA, CO 80045
Obstetrics & Gynecology
1635 AURORA CT
AURORA, CO 80045
Obstetrics & Gynecology
1635 AURORA CT
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
1635 AURORA CT
AURORA, CO 80045
Psychiatry & Neurology (Pain Medicine)
1635 AURORA CT
AURORA, CO 80045

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 Nikki Zarling's NPI number?

The NPI number for Nikki Zarling is 1154950806. It was assigned to this individual provider in the NPPES registry on April 5, 2020.

Where is Nikki Zarling located?

Nikki Zarling practices at 1635 Aurora Ct, Aurora, CO 80045. The listed phone number is (720) 848-0000.

What is Nikki Zarling's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nikki Zarling enrolled in Medicare?

Yes. Nikki Zarling 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 Nikki Zarling's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nikki Zarling reassigns Medicare benefits to 2 organizations: University Physicians Incorporated (Aurora, CO) and The Association Of University Physicians (Seattle, WA). 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 Nikki Zarling's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nikki Zarling accept?

Health plans from UnitedHealthcare list Nikki Zarling 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.

When was this NPI record last updated?

The NPPES record for Nikki Zarling was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.