DR. NICOLE MARIE PLUIM FNP
NPI 1174297311
Nurse Practitioner - Family in Orange City, IA

Active since August 02, 2021PECOS EnrolledAccepts Medicare Assignment
83.57/100
CMS Quality Rating
1000 LINCOLN CIR SE, ORANGE CITY, IA 51041(712) 737-2000 Get Directions Write a Review

NPPES record last updated: August 2, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Nicole Marie Pluim Fnp NPPES

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

DR. NICOLE MARIE PLUIM FNP (NPI 1174297311) is an individual family provider in Orange City, Iowa, licensed in Iowa (A164278) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Orange City Area Health System, and is a graduate of Creighton University School Of Medicine (2021).

NPPES Registry Identity

NPI1174297311
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. NICOLE MARIE PLUIMCredential: FNP
Location Address1000 LINCOLN CIR SEOrange City, IA 51041-1836
Mailing Address1000 Lincoln Cir SeOrange City, IA 51041-1836 · (712) 737-2000
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2021
Enumeration DateAugust 2, 2021
NPPES CertifiedAugust 2, 2021
✔ NPI 1174297311 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 · A164278
1000 LINCOLN CIR SE, Orange City, IA 51041

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

Dr. Nicole Marie Pluim Fnp 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 ID5193121176
PECOS Enrollment IDI20210831002981
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 Nicole Pluim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

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.

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 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.
12 services12 patients

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 51041 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.

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 20

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

Emergency Medicine
1000 LINCOLN CIR SE
ORANGE CITY, IA 51041
Nurse Practitioner (Family)
1000 LINCOLN CIR SE, SUITE 100
ORANGE CITY, IA 51041
Family Medicine
1000 LINCOLN CIR SE, SUITE 100
ORANGE CITY, IA 51041
Nurse Practitioner (Psychiatric/Mental Health)
1000 LINCOLN CIR SE
ORANGE CITY, IA 51041
Family Medicine
1000 LINCOLN CIR SE, SUITE 100
ORANGE CITY, IA 51041
Family Medicine
1000 LINCOLN CIR SE, SUITE 100
ORANGE CITY, IA 51041
Physical Therapist
1000 LINCOLN CIR SE, SUITE 400
ORANGE CITY, IA 51041
Clinic/Center (Physical Therapy)
1000 LINCOLN CIR SE, SUITE 400
ORANGE CITY, IA 51041

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 Pluim's NPI number?

The NPI number for Nicole Pluim is 1174297311. It was assigned to this individual provider in the NPPES registry on August 2, 2021.

Where is Nicole Pluim located?

Nicole Pluim practices at 1000 Lincoln Cir SE, Orange City, IA 51041. The listed phone number is (712) 737-2000.

What is Nicole Pluim's specialty?

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

Is Nicole Pluim enrolled in Medicare?

Yes. Nicole Pluim 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 Nicole Pluim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Pluim reassigns Medicare benefits to Orange City Municipal Hospital (Orange City, 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 Nicole Pluim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Pluim accept?

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

According to CMS data, Nicole Pluim is affiliated with Orange City Area Health System.

When was this NPI record last updated?

The NPPES record for Nicole Pluim was last updated on August 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.