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LEAH MAIER
NPI 1316219553
Nurse Practitioner - Family in Paullina, IA

Active since February 03, 2012PECOS Enrolled
83.57/100
CMS Quality Rating
5616 460TH ST, PAULLINA, IA 51046(712) 448-2000(712) 448-2005 Get Directions Write a Review

NPPES record last updated: February 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Leah Maier NPPES

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

LEAH MAIER (NPI 1316219553) is an individual family provider in Paullina, Iowa, licensed in Illinois (209-009074) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS, is affiliated with Orange City Area Health System, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1316219553
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLEAH MAIER
Location Address5616 460TH STPaullina, IA 51046-7516
Mailing Address5616 460th StPaullina, IA 51046-7516 · (712) 448-2000 · Fax (712) 448-2005
Phone(712) 448-2000
Fax(712) 448-2005
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateFebruary 3, 2012
Last NPPES UpdateFebruary 9, 2023
NPPES CertifiedFebruary 9, 2023
✔ NPI 1316219553 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 IL · 209-009074
5616 460TH ST, Paullina, IA 51046
Open in Google Maps ↗

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 (PECOS)

Leah Maier is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183886120
PECOS Enrollment IDI20200325003730
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.

Hospital Affiliations CMS Care Compare

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

Orange City Area Health System

Critical Access Hospitals · Orange City, IA
OwnershipVoluntary non-profit - Other
CMS Certification Number161360
Location1000 Lincoln Circle SEOrange City, IA 51041 · Sioux County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51046 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.

83.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.07
Promoting Interoperability98
Improvement Activities40
Cost50.83

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
2 suppliers17 claims23 services$4.63 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers21 claims21 services$51.36 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$108.73 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers18 claims18 services$35.98 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

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

ORANGE CITY MUNICIPAL HOSPITAL
Clinic/Center (Rural Health)
5616 460TH ST
PAULLINA, IA 51046
O'Brien County (712) 448-2000

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 Leah Maier's NPI number?

The NPI number for Leah Maier is 1316219553. It was assigned to this individual provider in the NPPES registry on February 3, 2012.

Where is Leah Maier located?

Leah Maier practices at 5616 460th St, Paullina, IA 51046. The listed phone number is (712) 448-2000.

What is Leah Maier's specialty?

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

Is Leah Maier enrolled in Medicare?

Yes. Leah Maier is registered in the Medicare PECOS enrollment system.

What insurance does Leah Maier 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 3 other insurers list Leah Maier 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 Leah Maier affiliated with any hospitals?

According to CMS data, Leah Maier is affiliated with Orange City Area Health System.

When was this NPI record last updated?

The NPPES record for Leah Maier was last updated on February 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.