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

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: July 26, 2026.

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

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
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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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
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.
39 services39 patients
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.
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
Quality67.62
Promoting Interoperability100
Improvement Activities40
Cost58.43

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.

Surgery
5409 AVENUE O
FORT MADISON, IA 52627
Pediatrics
5409 AVENUE O
FORT MADISON, IA 52627
Obstetrics & Gynecology
5409 AVENUE O
FORT MADISON, IA 52627
Family Medicine
5409 AVENUE O
FORT MADISON, IA 52627
Family Medicine
5409 AVENUE O
FORT MADISON, IA 52627
Nurse Practitioner (Family)
5409 AVENUE O
FORT MADISON, IA 52627
General Practice
5409 AVENUE O
FORT MADISON, IA 52627
Nurse Practitioner (Family)
5409 AVENUE O
FORT MADISON, IA 52627

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 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.

Where is Michelle Hornung located?

Michelle Hornung practices at 5409 Avenue O, Fort Madison, IA 52627. The listed phone number is (319) 376-2134.

What is Michelle Hornung's specialty?

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

Is Michelle Hornung enrolled in Medicare?

Yes. Michelle Hornung 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.

What insurance does Michelle Hornung accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Michelle Hornung 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 Michelle Hornung affiliated with any hospitals?

According to CMS data, Michelle Hornung is affiliated with Southeast Iowa Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Michelle Hornung was last updated on April 16, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.