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MICHELLE L VETSCH DNP
NPI 1215212865
Nurse Practitioner - Family in Cedar Rapids, IA

Active since October 14, 2011PECOS EnrolledAccepts Medicare Assignment
4325 WILLIAMS BLVD, CEDAR RAPIDS, IA 52404(319) 368-8400(563) 264-9195 Get Directions Write a Review

NPPES record last updated: July 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2021, Jun 12, 2019 (2 updates tracked since 2019).

About Michelle L Vetsch Dnp NPPES

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

MICHELLE L VETSCH DNP (NPI 1215212865) is an individual family provider in Cedar Rapids, Iowa, licensed in Iowa (A117470) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1215212865
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHELLE L VETSCHCredential: DNP
Location Address4325 WILLIAMS BLVDCedar Rapids, IA 52404
Mailing Address4325 Williams Blvd SwCedar Rapids, IA 52404 · (319) 368-8400 · Fax (319) 368-8405
Phone(319) 368-8400
Fax(563) 264-9195
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 14, 2011
Last NPPES UpdateJuly 15, 20212 updates tracked since enumeration
NPPES CertifiedJuly 15, 2021
✔ NPI 1215212865 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 · A117470
4325 WILLIAMS BLVD, Cedar Rapids, IA 52404
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Michelle L Vetsch Dnp 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 ID7719144450
PECOS Enrollment IDI20120207000668
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 11

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 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.
287 services189 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
228 services32 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
174 services174 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
123 services19 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
119 services19 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.
101 services82 patients

Hospital Affiliations CMS Care Compare 3

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

St Lukes Hospital

Acute Care Hospitals · Cedar Rapids, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160045
Location1026 A Ave NECedar Rapids, IA 52402 · Linn County
Emergency services Birthing friendly

Mercy Medical Center - Cedar Rapids

Acute Care Hospitals · Cedar Rapids, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number160079
Location701 10th Street SECedar Rapids, IA 52403 · Linn County
Emergency services Birthing friendly

Compass Memorial Healthcare

Critical Access Hospitals · Marengo, IA
OwnershipGovernment - Local
CMS Certification Number161317
Location300 W May StMarengo, IA 52301 · Iowa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52404 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 4

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
16 suppliers62 claims121 services$5.42 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers17 claims17 services$0.86 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers11 claims11 services$15.63 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers16 claims96 services$2.50 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 4

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

NICOLE WOOLLEY DNP
Nurse Practitioner (Family)
4325 WILLIAMS BLVD
CEDAR RAPIDS, IA 52404
Linn County (319) 368-8400
MELISSA KAHLER M.D.
Family Medicine
4325 WILLIAMS BLVD
CEDAR RAPIDS, IA 52404
Linn County (319) 368-8400
DR. SUSAN MARIE MASON D.O.
Family Medicine
4325 WILLIAMS BLVD
CEDAR RAPIDS, IA 52404
Linn County (319) 368-8400
ANSHUL JAIN M.D.
Family Medicine
4325 WILLIAMS BLVD
CEDAR RAPIDS, IA 52404
Linn County (319) 368-8400

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 Vetsch's NPI number?

The NPI number for Michelle Vetsch is 1215212865. It was assigned to this individual provider in the NPPES registry on October 14, 2011.

Where is Michelle Vetsch located?

Michelle Vetsch practices at 4325 Williams Blvd, Cedar Rapids, IA 52404. The listed phone number is (319) 368-8400.

What is Michelle Vetsch's specialty?

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

Is Michelle Vetsch enrolled in Medicare?

Yes. Michelle Vetsch 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 Vetsch accept?

Health plans from Medica list Michelle Vetsch 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 Vetsch affiliated with any hospitals?

According to CMS data, Michelle Vetsch is affiliated with St Lukes Hospital, Mercy Medical Center - Cedar Rapids and Compass Memorial Healthcare.

When was this NPI record last updated?

The NPPES record for Michelle Vetsch was last updated on July 15, 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.