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STEPHANIE SINCLAIR ARNP
NPI 1295821494
Nurse Practitioner - Pediatrics in Ankeny, IA

Active since October 05, 2006PECOS Enrolled
800 E 1ST ST STE 2200, ANKENY, IA 50021(515) 643-9000(515) 643-7509 Get Directions Write a Review

NPPES record last updated: June 19, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stephanie Sinclair Arnp NPPES

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

STEPHANIE SINCLAIR ARNP (NPI 1295821494) is an individual pediatrics provider in Ankeny, Iowa, licensed in Iowa (A098290) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295821494
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSTEPHANIE SINCLAIRCredential: ARNP
Location Address800 E 1ST ST STE 2200Ankeny, IA 50021
Mailing AddressPo Box 1475Des Moines, IA 50305-1475 · (515) 643-9000 · Fax (515) 643-7509
Phone(515) 643-9000
Fax(515) 643-7509
Sole ProprietorNo
Enumeration DateOctober 5, 2006
Last NPPES UpdateJune 19, 2018
✔ NPI 1295821494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in IA · A098290
Also ListedNurse PractitionerTaxonomy 363L00000X · License A098290 (IA)
800 E 1ST ST STE 2200, Ankeny, IA 50021
Open in Google Maps ↗

Other Identifiers 2

Other02604IA · Wellmark Blue Shield
Other71087IA · Wellmark Blue Shield

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 (PECOS)

Stephanie Sinclair Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Mercy Clinics, Inc
Same address
Clinic/Center
800 E 1ST ST STE 2200
Ankeny, IA 50021
  • Reassigned Medicare billing, Iowa enrollment
  • 516 clinicians in this Medicare group
NPI 1164602553 (515) 643-9000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50021 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.

Other Providers at the Same Location NPPES 5

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

DR. ERIC A ANDERSEN MD
Pediatrics
800 E 1ST ST STE 2200
ANKENY, IA 50021
Polk County (515) 643-9000
RYAN VANDE ZANDE DO
Pediatrics
800 E 1ST ST STE 2200
ANKENY, IA 50021
Polk County (515) 643-9000
MERCY CLINICS, INC
Clinic/Center
800 E 1ST ST STE 2200
ANKENY, IA 50021
Polk County (515) 643-9000
SARA L SCHUTTE-SCHENCK DO
Pediatrics
800 E 1ST ST STE 2200
ANKENY, IA 50021
Polk County (515) 643-9000
CHERI FOLDEN MD
Pediatrics
800 E 1ST ST STE 2200
ANKENY, IA 50021
Polk County (515) 643-9000

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 Stephanie Sinclair's NPI number?

The NPI number for Stephanie Sinclair is 1295821494. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Stephanie Sinclair located?

Stephanie Sinclair practices at 800 E 1st St Ste 2200, Ankeny, IA 50021. The listed phone number is (515) 643-9000.

What is Stephanie Sinclair's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Stephanie Sinclair enrolled in Medicare?

Yes. Stephanie Sinclair is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stephanie Sinclair's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Sinclair reassigns Medicare benefits to Mercy Clinics, Inc (Ankeny, IA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephanie Sinclair's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephanie Sinclair accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Insurance Company and 2 other insurers list Stephanie Sinclair 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.

When was this NPI record last updated?

The NPPES record for Stephanie Sinclair was last updated on June 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.