NICOLE M SOUPHIS ARNP
NPI 1396626792
Nurse Practitioner - Family in Iowa City, IA

Q: What is Nicole Souphis's NPI number?

The NPI number for Nicole Souphis is 1396626792. It was assigned to this individual provider in the NPPES registry on September 11, 2025.

Q: What is Nicole Souphis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Souphis was last updated on March 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 11, 2025PECOS EnrolledAccepts Medicare Assignment

201 S CLINTON ST STE 168, IOWA CITY, IA 52240(319) 384-0520(319) 467-8105 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 11, 2026, Sep 11, 2025 (2 updates tracked since 2025).

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About Nicole M Souphis Arnp NPPES

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

NICOLE M SOUPHIS ARNP (NPI 1396626792) is an individual family provider in Iowa City, Iowa, licensed in Iowa (A186857) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and maintains 8 additional practice locations.

NPPES Registry Identity

NPI1396626792

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameNICOLE M SOUPHISCredential: ARNP

Location Address201 S CLINTON ST STE 168Iowa City, IA 52240-4034

Mailing Address200 Hawkins DrIowa City, IA 52242-1009

Phone(319) 384-0520

Fax(319) 467-8105

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateSeptember 11, 2025

Last NPPES UpdateMarch 11, 20262 updates tracked since enumeration

NPPES CertifiedMarch 11, 2026

✔ NPI 1396626792 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 · A186857

201 S CLINTON ST STE 168, Iowa City, IA 52240

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Secondary Practice Locations 8

Location 12705 E 53rd StDavenport, IA 52807-3008 · Phone (319) 384-0520 · Fax (319) 467-8105

Location 21632 Sycamore StIowa City, IA 52240-6044 · Phone (319) 384-0520 · Fax (319) 467-8105

Location 33640 Middlebury RdIowa City, IA 52245-2712 · Phone (319) 384-0520 · Fax (319) 467-8105

Location 4720 Pacha Pkwy Ste 1North Liberty, IA 52317-4797 · Phone (319) 384-0520 · Fax (319) 467-8105

Location 5767 Mormon Trek BlvdIowa City, IA 52246-1812 · Phone (319) 384-0520 · Fax (319) 467-8105

Location 62591 Holiday RdCoralville, IA 52241-3039 · Phone (319) 384-0520 · Fax (319) 467-8105

Location 7411 10th St SE Ste 2300Cedar Rapids, IA 52403-2467 · Phone (319) 384-0520 · Fax (319) 467-8105

Location 8865 Lincoln Rd Ste 400Bettendorf, IA 52722-4159 · Phone (319) 384-0520 · Fax (319) 467-8105

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 and accepts Medicare assignment

Nicole M Souphis 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 ID4183111016

PECOS Enrollment IDI20251014004185

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 2

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

St Lukes Hospital

Acute Care Hospitals · Cedar Rapids, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160045

Location1026 A Ave NECedar Rapids, IA 52402 · Linn County

Emergency services Birthing friendly

University Of Iowa Hospital & Clinics

Acute Care Hospitals · Iowa City, IA

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number160058

Location200 Hawkins DriveIowa City, IA 52242 · Johnson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52240 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.

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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.

TIFFANY TALLEY

Nurse Practitioner (Family)