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TERRY WADDELL
NPI 1376047522
Nurse Practitioner - Family in New London, IA

Active since March 22, 2018PECOS EnrolledAccepts Medicare Assignment
412 E MAIN ST, NEW LONDON, IA 52645(641) 572-0065 Get Directions Write a Review

NPPES record last updated: March 22, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Terry Waddell NPPES

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

TERRY WADDELL (NPI 1376047522) is an individual family provider in New London, Iowa, licensed in Iowa (A114616) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Davis County Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1376047522
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTERRY WADDELL
Location Address412 E MAIN STNew London, IA 52645-1220
Mailing Address412 E Main StNew London, IA 52645-1220 · (641) 572-0065
Phone(641) 572-0065
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 22, 2018
✔ NPI 1376047522 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 · A114616
412 E MAIN ST, New London, IA 52645
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica, Oscar 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 and accepts Medicare assignment

Terry Waddell 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 ID2860747748
PECOS Enrollment IDI20180618001270
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 Reassignments

6

Medicare enrollment records show Terry Waddell reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Davis County Hospital
54 mi
Critical Access
509 N MADISON ST
Bloomfield, IA 52537
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1487740486 (Iowa)
  • 50 clinicians in this Medicare group
NPI 1942255666 (641) 664-2145
Monroe County Hospital
73 mi
Rural Health
6582 165TH ST
Albia, IA 52531
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1205895299 (Iowa)
  • 52 clinicians in this Medicare group
NPI 1245469378 (641) 932-7172
Grinnell Regional Medical Center
84 mi
Family Medicine
303 EAST STREET
Lynnville, IA 50153
  • Reassigned Medicare billing, Iowa enrollment
  • 177 clinicians in this Medicare group
NPI 1548336084 (641) 527-2929
Knoxville Community Hospital Inc
93 mi
Family Medicine
1202 W HOWARD ST
Knoxville, IA 50138
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1922087915 (Iowa)
  • 156 clinicians in this Medicare group
NPI 1578570677 (641) 828-7211
Madison County Memorial Hospital
139 mi
Primary Care
300 W HUTCHINGS ST
Winterset, IA 50273
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1831104611 (Iowa)
  • 43 clinicians in this Medicare group
NPI 1093929390 (515) 462-2373
Avera Holy Family
245 mi
Critical Access
826 N 8TH ST
Estherville, IA 51334
  • Reassigned Medicare billing, Iowa enrollment
  • 65 clinicians in this Medicare group
NPI 1508810177 (712) 362-2631

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

Hospital Affiliations CMS Care Compare 2

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

Davis County Hospital

Critical Access Hospitals · Bloomfield, IA
OwnershipGovernment - Local
CMS Certification Number161327
Location509 North Madison StreetBloomfield, IA 52537 · Davis County
Emergency services

Knoxville Hospital & Clinics

Critical Access Hospitals · Knoxville, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161355
Location1002 South Lincoln StreetKnoxville, IA 50138 · Marion County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52645 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 Terry Waddell's NPI number?

The NPI number for Terry Waddell is 1376047522. It was assigned to this individual provider in the NPPES registry on March 22, 2018.

Where is Terry Waddell located?

Terry Waddell practices at 412 E Main St, New London, IA 52645. The listed phone number is (641) 572-0065.

What is Terry Waddell's specialty?

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

Is Terry Waddell enrolled in Medicare?

Yes. Terry Waddell 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 organizations bill Medicare for Terry Waddell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Terry Waddell reassigns Medicare benefits to 6 organizations: Davis County Hospital (Bloomfield, IA), Monroe County Hospital (Albia, IA), Grinnell Regional Medical Center (Lynnville, IA), Knoxville Community Hospital Inc (Knoxville, IA), Madison County Memorial Hospital (Winterset, IA) and 1 more organization, listed in the Medicare section above. Each 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 Terry Waddell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Terry Waddell accept?

Health plans from Avera Health Plans, Medica, Oscar Health, Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Terry Waddell 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 Terry Waddell affiliated with any hospitals?

According to CMS data, Terry Waddell is affiliated with Davis County Hospital and Knoxville Hospital & Clinics.

When was this NPI record last updated?

The NPPES record for Terry Waddell was last updated on March 22, 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.