1. Home
  2. Directory
  3. Iowa
  4. Cedar Falls
  5. Nurse Practitioner
  6. NPI Profile

MARY HUGHES ARNP
NPI 1396197653
Nurse Practitioner - Family in Cedar Falls, IA

Active since July 11, 2016PECOS Enrolled
6301 UNIVERSITY AVE STE A3, CEDAR FALLS, IA 50613(319) 272-7425(319) 272-3405 Get Directions Write a Review

NPPES record last updated: July 11, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mary Hughes Arnp NPPES

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

MARY HUGHES ARNP (NPI 1396197653) is an individual family provider in Cedar Falls, Iowa, licensed in Iowa (A126739) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396197653
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY HUGHESCredential: ARNP
Location Address6301 UNIVERSITY AVE STE A3Cedar Falls, IA 50613-5200
Mailing Address2101 Kimball Ave, Po Box 6200Waterloo, IA 50702-5063 · (319) 272-1590 · Fax (319) 272-1535
Phone(319) 272-7425
Fax(319) 272-3405
Sole ProprietorNo
Enumeration DateJuly 11, 2016
✔ NPI 1396197653 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 · A126739
6301 UNIVERSITY AVE STE A3, Cedar Falls, IA 50613
Open in Google Maps ↗

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)

Mary Hughes 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 Reassignments

2

Medicare enrollment records show Mary Hughes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Waverly Health Center
15 mi
Critical Access
312 9TH ST SW
Waverly, IA 50677
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1033125463 (Iowa)
  • 66 clinicians in this Medicare group
NPI 1447299953 (319) 352-4120
People's Memorial Hospital
19 mi
Rural Health
211 SOUTH STREET WEST
Jesup, IA 50648
  • Reassigned Medicare billing, Iowa enrollment
  • Medicare enrollment name: Peoples Memorial Hospital
  • Also billed through NPI 1265595144 (Iowa)
  • 91 clinicians in this Medicare group
NPI 1386201333 (319) 332-0999

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 50613 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 Mary Hughes's NPI number?

The NPI number for Mary Hughes is 1396197653. It was assigned to this individual provider in the NPPES registry on July 11, 2016.

Where is Mary Hughes located?

Mary Hughes practices at 6301 University Ave Ste A3, Cedar Falls, IA 50613. The listed phone number is (319) 272-7425.

What is Mary Hughes's specialty?

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

Is Mary Hughes enrolled in Medicare?

Yes. Mary Hughes is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary Hughes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Hughes reassigns Medicare benefits to 2 organizations: Waverly Health Center (Waverly, IA) and People's Memorial Hospital (Jesup, IA). 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 Mary Hughes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Hughes 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 Mary Hughes 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 Mary Hughes was last updated on July 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.