VIRGINIA HAWTHORNE ARNP
NPI 1265917140
Nurse Practitioner in Winterset, IA

Active since September 26, 2018PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
300 W HUTCHINGS ST, WINTERSET, IA 50273(515) 739-0086 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 16, 2026, Sep 26, 2018 (2 updates tracked since 2018).

About Virginia Hawthorne Arnp NPPES

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

VIRGINIA HAWTHORNE ARNP (NPI 1265917140) is an individual nurse practitioner in Winterset, Iowa, licensed in Iowa (A156796) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Madison County Health Care System, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1265917140
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameVIRGINIA HAWTHORNECredential: ARNP
Location Address300 W HUTCHINGS STWinterset, IA 50273-2109
Mailing Address100 3rd St Ste 1Davenport, WA 99122-5008
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 26, 2018
Last NPPES UpdateJanuary 16, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2026
NPI 1265917140 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 · A156796
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.
300 W HUTCHINGS ST, Winterset, IA 50273

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

Virginia Hawthorne Arnp 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 ID2567701857
PECOS Enrollment IDI20190304002586, I20200730001787
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

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
25 services18 patients

Hospital Affiliations CMS Care Compare

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

Madison County Health Care System

Critical Access Hospitals · Winterset, IA
OwnershipGovernment - Local
CMS Certification Number161326
Location300 West Hutchings StreetWinterset, IA 50273 · Madison County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50273 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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Social Worker (Clinical)
300 W HUTCHINGS ST
WINTERSET, IA 50273
Counselor
300 W HUTCHINGS ST
WINTERSET, IA 50273
Physical Therapist
300 W HUTCHINGS ST
WINTERSET, IA 50273
Clinic/Center (Primary Care)
300 W HUTCHINGS ST
WINTERSET, IA 50273
Family Medicine
300 W HUTCHINGS ST
WINTERSET, IA 50273
Physician Assistant
300 W HUTCHINGS ST
WINTERSET, IA 50273
Family Medicine
300 W HUTCHINGS ST
WINTERSET, IA 50273
Medicare Defined Swing Bed Unit
300 W HUTCHINGS ST
WINTERSET, IA 50273

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 Virginia Hawthorne's NPI number?

The NPI number for Virginia Hawthorne is 1265917140. It was assigned to this individual provider in the NPPES registry on September 26, 2018.

Where is Virginia Hawthorne located?

Virginia Hawthorne practices at 300 W Hutchings St, Winterset, IA 50273. The listed phone number is (515) 739-0086.

What is Virginia Hawthorne's specialty?

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

Is Virginia Hawthorne enrolled in Medicare?

Yes. Virginia Hawthorne 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 Virginia Hawthorne 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 Virginia Hawthorne 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 Virginia Hawthorne affiliated with any hospitals?

According to CMS data, Virginia Hawthorne is affiliated with Madison County Health Care System.

When was this NPI record last updated?

The NPPES record for Virginia Hawthorne was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.