MRS. MICHELLE LYNN HORNUNG FNP-C
NPI 1205315116
Nurse Practitioner - Family in Fort Madison, IA

Q: What is Michelle Hornung's NPI number?

The NPI number for Michelle Hornung is 1205315116. It was assigned to this individual provider in the NPPES registry on August 10, 2018.

Q: What is Michelle Hornung's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michelle Hornung was last updated on April 16, 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.

Active since August 10, 2018PECOS EnrolledAccepts Medicare Assignment

77.81/100

CMS Quality Rating

5409 AVENUE O, FORT MADISON, IA 52627(319) 376-2134(319) 376-2188 Get Directions Write a Review

NPPES record last updated: April 16, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 16, 2021, Aug 10, 2018 (2 updates tracked since 2018).

On this page

About Mrs. Michelle Lynn Hornung Fnp-c NPPES

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

MRS. MICHELLE LYNN HORNUNG FNP-C (NPI 1205315116) is an individual family provider in Fort Madison, Iowa, licensed in Iowa (A100155) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Southeast Iowa Regional Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1205315116

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. MICHELLE LYNN HORNUNGCredential: FNP-C

Location Address5409 AVENUE OFort Madison, IA 52627-9601

Mailing AddressPo Box 1470Fort Madison, IA 52627-1470 · (319) 376-2134 · Fax (319) 376-2188

Phone(319) 376-2134

Fax(319) 376-2188

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 10, 2018

Last NPPES UpdateApril 16, 20212 updates tracked since enumeration

NPPES CertifiedApril 16, 2021

✔ NPI 1205315116 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 · A100155

5409 AVENUE O, Fort Madison, IA 52627

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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

Mrs. Michelle Lynn Hornung Fnp-c 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 ID7214280742

PECOS Enrollment IDI20181030001111

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 Michelle Hornung reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southeast Iowa Regional Medical Center, Inc.

20 mi

General Practice

1221 S GEAR AVE
West Burlington, IA 52655

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

NPI 1164433884 (319) 768-3626

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 4

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.

131 services119 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.

94 services87 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

39 services39 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

21 services21 patients

Hospital Affiliations CMS Care Compare

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

Southeast Iowa Regional Medical Center

Acute Care Hospitals · West Burlington, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160057

Location1221 South Gear AvenueWest Burlington, IA 52655 · Des Moines County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52627 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.

77.81/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

67.62

Promoting Interoperability

100

Improvement Activities

Cost

58.43

Referred Medical Equipment & Supplies CMS DME claims 2

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

1 supplier42 claims51 services$4.27 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

1 supplier12 claims12 services$146.91 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.

WESLEY RIGGS BAGAN M.D.

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