NANCY LU HOWE ARNP
NPI 1346298221
Nurse Practitioner - Psychiatric/Mental Health in Spencer, IA

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
201 E 11TH ST, SPENCER, IA 51301(712) 262-2922(712) 262-3826 Get Directions Write a Review

NPPES record last updated: November 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nancy Lu Howe Arnp NPPES

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

NANCY LU HOWE ARNP (NPI 1346298221) is an individual psychiatric/mental health provider in Spencer, Iowa, licensed in Iowa (G-065214) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center - Cedar Rapids, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1346298221
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNANCY LU HOWECredential: ARNP
Location Address201 E 11TH STSpencer, IA 51301-4436
Mailing Address201 E 11th StSpencer, IA 51301-4436 · (712) 262-2922 · Fax (712) 262-3826
Fax(712) 262-3826
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 4, 2006
Last NPPES UpdateNovember 8, 2007
✔ NPI 1346298221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IA · G-065214
201 E 11TH ST, Spencer, IA 51301

Other Identifiers 2

Medicare PINI17630
Medicare UPINQ69761

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nancy Lu Howe 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 ID3274545009
PECOS Enrollment IDI20060619000211
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 Nancy Howe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
5264 COUNCIL ST NE
Cedar Rapids, IA 52402
  • Reassigned Medicare billing, Iowa enrollment
  • 387 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 2

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.
173 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.
19 services15 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51301 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 20

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

Social Worker
201 E 11TH ST
SPENCER, IA 51301
Counselor (Mental Health)
201 E 11TH ST
SPENCER, IA 51301
Social Worker (Clinical)
201 E 11TH ST
SPENCER, IA 51301
Social Worker
201 E 11TH ST
SPENCER, IA 51301
Social Worker
201 E 11TH ST
SPENCER, IA 51301
Peer Specialist
201 E 11TH ST
SPENCER, IA 51301
Counselor (Mental Health)
201 E 11TH ST
SPENCER, IA 51301
Case Management
201 E 11TH ST, SEASONS CENTER FOR COMMUNITY MENTAL HEALTH
SPENCER, IA 51301

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 Nancy Howe's NPI number?

The NPI number for Nancy Howe is 1346298221. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Nancy Howe located?

Nancy Howe practices at 201 E 11th St, Spencer, IA 51301. The listed phone number is (712) 262-2922.

What is Nancy Howe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Nancy Howe enrolled in Medicare?

Yes. Nancy Howe 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.

Which organization bills Medicare for Nancy Howe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nancy Howe reassigns Medicare benefits to Mercy Medical Center (Cedar Rapids, 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 Nancy Howe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nancy Howe accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Wellmark Health Plan of Iowa, Inc. list Nancy Howe 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 Nancy Howe affiliated with any hospitals?

According to CMS data, Nancy Howe is affiliated with Mercy Medical Center - Cedar Rapids.

When was this NPI record last updated?

The NPPES record for Nancy Howe was last updated on November 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.