ANDREA NICHOLSON
NPI 1205280005
Nurse Practitioner in Mason City, IA

Q: What is Andrea Nicholson's NPI number?

The NPI number for Andrea Nicholson is 1205280005. It was assigned to this individual provider in the NPPES registry on April 18, 2016.

Q: What is Andrea Nicholson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Nicholson was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since April 18, 2016PECOS EnrolledAccepts Medicare Assignment

250 S CRESCENT DR, SUITE 200, MASON CITY, IA 50401(641) 494-5300(641) 494-5329 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2020, Mar 29, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2018).

On this page

About Andrea Nicholson NPPES

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

ANDREA NICHOLSON (NPI 1205280005) is an individual nurse practitioner in Mason City, Iowa, licensed in Iowa (H112476) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Mercyone North Iowa Medical Center, and maintains a secondary practice location in Albert Lea.

NPPES Registry Identity

NPI1205280005

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameANDREA NICHOLSON

Location Address250 S CRESCENT DR, SUITE 200Mason City, IA 50401-2926

Mailing Address250 S Crescent DrMason City, IA 50401-2926 · (414) 945-2006 · Fax (641) 494-5403

Phone(641) 494-5300

Fax(641) 494-5329

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateApril 18, 2016

Last NPPES UpdateApril 21, 20254 updates tracked since enumeration

NPPES CertifiedApril 21, 2025

✔ NPI 1205280005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IA · H112476

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

250 S CRESCENT DR, Mason City, IA 50401

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Secondary Practice Location 1

Location 1404 W Fountain StAlbert Lea, MN 56007-2437 · Phone (507) 373-2384

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

Andrea Nicholson 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 ID840599361

PECOS Enrollment IDI20160504000759

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

Medicare enrollment records show Andrea Nicholson reassigns Medicare billing to 5 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

Franklin General Hospital

28 mi

Critical Access

1720 CENTRAL AVE E
Hampton, IA 50441

Reassigned Medicare billing, Iowa enrollment
27 clinicians in this Medicare group

NPI 1477637759 (641) 456-5000

Mercy Medical Center - New Hampton

46 mi

Family Medicine

308 N MAPLE AVE
New Hampton, IA 50659

Reassigned Medicare billing, Iowa enrollment
Also billed through NPI 1770651515 (Iowa)
46 clinicians in this Medicare group

NPI 1568474369 (641) 394-2151

Mayo Clinic

71 mi

Infectious Disease

200 1ST ST SW
Rochester, MN 55905

Reassigned Medicare billing, Minnesota enrollment
6,534 clinicians in this Medicare group

NPI 1114343860 (507) 284-2511

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

34 services27 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

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

Mercy Medical Center-New Hampton

Critical Access Hospitals · New Hampton, IA

OwnershipVoluntary non-profit - Church

CMS Certification Number161331

Location308 North Maple AvenueNew Hampton, IA 50659 · Chickasaw 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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers28 claims58 services$6.35 avg. paid by Medicare

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

2 suppliers11 claims200 services$4.49 avg. paid by Medicare

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394

DME-Orthotic Devices · category DF010N

2 suppliers11 claims88 services$2.28 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers12 claims12 services$8.44 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

5 suppliers24 claims2,010 services$0.10 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers49 claims49 services$206.91 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 Andrea Nicholson's NPI number?

The NPI number for Andrea Nicholson is 1205280005. It was assigned to this individual provider in the NPPES registry on April 18, 2016.

Where is Andrea Nicholson located?

Andrea Nicholson practices at 250 S Crescent Dr Suite 200, Mason City, IA 50401. The listed phone number is (641) 494-5300.

What is Andrea Nicholson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Andrea Nicholson enrolled in Medicare?

Yes. Andrea Nicholson 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 Andrea Nicholson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Nicholson reassigns Medicare benefits to 5 organizations: Mason City Clinic PC (Mason City, IA), North Iowa Mercy Clinics (Mason City, IA), Franklin General Hospital (Hampton, IA), Mercy Medical Center - New Hampton (New Hampton, IA) and Mayo Clinic (Rochester, MN). 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 Andrea Nicholson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Nicholson 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 Andrea Nicholson 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 Andrea Nicholson affiliated with any hospitals?

According to CMS data, Andrea Nicholson is affiliated with Mercyone North Iowa Medical Center, Franklin General Hospital, Mitchell County Regional Health, Mercy Medical Center-New Hampton and Kossuth Regional Health Center.

When was this NPI record last updated?

The NPPES record for Andrea Nicholson was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.