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ALICIA D BARRON ARNP
NPI 1194888024
Nurse Practitioner - Family in Tama, IA

Active since December 19, 2006PECOS EnrolledAccepts Medicare Assignment
1646 305TH ST, TAMA, IA 52339(641) 484-4094(641) 484-2432 Get Directions Write a Review

NPPES record last updated: November 4, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 4, 2019, Jan 20, 2016 (2 updates tracked since 2016).

About Alicia D Barron Arnp NPPES

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

ALICIA D BARRON ARNP (NPI 1194888024) is an individual family provider in Tama, Iowa, licensed in Iowa (A-102846) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Marshalltown, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1194888024
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALICIA D BARRONCredential: ARNP
Location Address1646 305TH STTama, IA 52339-9698
Mailing Address112 Hillcrest DrReinbeck, IA 50669-1370 · (319) 215-9286 · Fax (641) 456-5060
Phone(641) 484-4094
Fax(641) 484-2432
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateDecember 19, 2006
Last NPPES UpdateNovember 4, 20192 updates tracked since enumeration
✔ NPI 1194888024 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 · A-102846
1646 305TH ST, Tama, IA 52339
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare, Wellmark Health Plan of Iowa, Inc..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

Alicia D Barron 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 ID3173568425
PECOS Enrollment IDI20050627000978
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 Alicia Barron reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sac & Fox Of The Miss In Iowa
0.5 mi
Primary Care
1646 305TH STREET, STE A
Tama, IA 52339
  • Reassigned Medicare billing, Iowa enrollment
  • 13 clinicians in this Medicare group
NPI 1962618355 (641) 484-4094
Ottumwa Health Group LLC
58 mi
Rural Health
107 N 3RD ST
Eddyville, IA 52553
  • Reassigned Medicare billing, Iowa enrollment
  • 86 clinicians in this Medicare group
NPI 1962023663 (641) 969-5212

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 7

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.
65 services36 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
52 services26 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.
43 services25 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
25 services21 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
19 services18 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Unitypoint Health - Marshalltown

Acute Care Hospitals · Marshalltown, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number160001
Location55 Unitypoint WayMarshalltown, IA 50158 · Marshall County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52339 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.

Reported Quality Measures

Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
Lower rates are better for this measure.
0%469 patients
Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
25%350 patients2/55-star benchmark: 92%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
33%227 patients2/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
41%619 patients2/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
25%51 patients2/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
94%1,927 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%3,687 patients5/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
74%418 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
21%3,118 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
56%3,118 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
6%3,118 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
7%3,118 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 9

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

DR. LOU ANN MITCHELL M.D
Family Medicine
1646 305TH ST
TAMA, IA 52339
Tama County (641) 484-4094
MRS. SARA NICOLE AUGSPURGER RN
Registered Nurse
1646 305TH ST
TAMA, IA 52339
Tama County (641) 484-4094
MEGAN MARIE KOEHN RDN, LD
Dietitian, Registered
1646 305TH ST
TAMA, IA 52339
Tama County (641) 484-4094
SAC & FOX TRIBE OF THE MISS IN IOWA
Dentist (General Practice)
1646 305TH ST
TAMA, IA 52339
Tama County (641) 484-4094
MR. RANDALL W INHELDER MSW
Counselor (Addiction (Substance Use Disorder))
1646 305TH ST
TAMA, IA 52339
Tama County (641) 484-9447
DR. CINDY ELAINE NIELSEN DO
Family Medicine
1646 305TH ST
TAMA, IA 52339
Tama County (641) 484-4094
STEPHANIE MOORE MA, CADC, CTP
Counselor (Addiction (Substance Use Disorder))
1646 305TH ST
TAMA, IA 52339
Tama County (641) 484-9482
NICOLE ELIZABETH PETERSON ARNP
Nurse Practitioner (Gerontology)
1646 305TH ST
TAMA, IA 52339
Tama County (641) 484-4094

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 Alicia Barron's NPI number?

The NPI number for Alicia Barron is 1194888024. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Where is Alicia Barron located?

Alicia Barron practices at 1646 305th St, Tama, IA 52339. The listed phone number is (641) 484-4094.

What is Alicia Barron's specialty?

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

Is Alicia Barron enrolled in Medicare?

Yes. Alicia Barron 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 Alicia Barron's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Barron reassigns Medicare benefits to 2 organizations: Sac & Fox Of The Miss In Iowa (Tama, IA) and Ottumwa Health Group LLC (Eddyville, 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 Alicia Barron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alicia Barron accept?

Health plans from UnitedHealthcare and Wellmark Health Plan of Iowa, Inc. list Alicia Barron 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 Alicia Barron affiliated with any hospitals?

According to CMS data, Alicia Barron is affiliated with Unitypoint Health - Marshalltown.

When was this NPI record last updated?

The NPPES record for Alicia Barron was last updated on November 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.