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SARAH PRAHM APRN
NPI 1265109458
Nurse Practitioner - Family in Mason City, IA

Active since August 25, 2021PECOS EnrolledAccepts Medicare Assignment
621 S ILLINOIS AVE STE 100, MASON CITY, IA 50401(641) 428-6900(641) 428-6909 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 7, 2022, Aug 22, 2022, Feb 24, 2022 and 1 more (4 updates tracked since 2021).

About Sarah Prahm Aprn NPPES

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

SARAH PRAHM APRN (NPI 1265109458) is an individual family provider in Mason City, Iowa, licensed in Iowa (A165299) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Mercyone North Iowa Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1265109458
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSARAH PRAHMCredential: APRN
Location Address621 S ILLINOIS AVE STE 100Mason City, IA 50401-5489
Mailing Address22867 Ulmus AvePlymouth, IA 50464-8769
Phone(641) 428-6900
Fax(641) 428-6909
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 25, 2021
Last NPPES UpdateJuly 15, 20254 updates tracked since enumeration
NPPES CertifiedJuly 15, 2025
✔ NPI 1265109458 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 · A165299
621 S ILLINOIS AVE STE 100, Mason City, IA 50401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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

Sarah Prahm Aprn 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 ID244628733
PECOS Enrollment IDI20211103000484
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 3

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.
210 services111 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.
56 services56 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.
38 services35 patients

Hospital Affiliations CMS Care Compare 2

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

Mercyone Des Moines Medical Center

Acute Care Hospitals · Des Moines, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160083
Location1111 6th AveDes Moines, IA 50314 · Polk 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.

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 Sarah Prahm's NPI number?

The NPI number for Sarah Prahm is 1265109458. It was assigned to this individual provider in the NPPES registry on August 25, 2021.

Where is Sarah Prahm located?

Sarah Prahm practices at 621 S Illinois Ave Ste 100, Mason City, IA 50401. The listed phone number is (641) 428-6900.

What is Sarah Prahm's specialty?

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

Is Sarah Prahm enrolled in Medicare?

Yes. Sarah Prahm 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 Sarah Prahm 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 2 other insurers list Sarah Prahm 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 Sarah Prahm affiliated with any hospitals?

According to CMS data, Sarah Prahm is affiliated with Mercyone North Iowa Medical Center and Mercyone Des Moines Medical Center.

When was this NPI record last updated?

The NPPES record for Sarah Prahm was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.