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

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

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: November 01, 2026.

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

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
Open in Google Maps ↗

Secondary Practice Locations 8

Location 1411 10th St SE Ste 2300Cedar Rapids, IA 52403-2467 · 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 32705 E 53rd StDavenport, IA 52807-3008 · Phone (319) 384-0520 · Fax (319) 467-8105
Location 43640 Middlebury RdIowa City, IA 52245-2712 · Phone (319) 384-0520 · Fax (319) 467-8105
Location 52591 Holiday RdCoralville, IA 52241-3039 · Phone (319) 384-0520 · Fax (319) 467-8105
Location 6720 Pacha Pkwy Ste 1North Liberty, IA 52317-4797 · Phone (319) 384-0520 · Fax (319) 467-8105
Location 7767 Mormon Trek BlvdIowa City, IA 52246-1812 · 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 Sunflower Health Plan, Ambetter Health, Medica 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

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.

Medicare Billing Reassignments

2

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

State University Of Iowa
Same address
Family Medicine
201 S CLINTON ST, ST 168
Iowa City, IA 52240
  • Reassigned Medicare billing, Iowa enrollment
  • 2,190 clinicians in this Medicare group
NPI 1063693703 (319) 384-8877
Physicians' Clinic Of Iowa, PC
23 mi
Clinical Medical Laboratory
202 10TH STREET SE
Cedar Rapids, IA 52403
  • Reassigned Medicare billing, Iowa enrollment
  • 156 clinicians in this Medicare group
NPI 1194060186 (319) 399-2096

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.

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.

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)
201 S CLINTON ST STE 168
IOWA CITY, IA 52240
Johnson County (319) 384-0520
JESSICA GONZALES
Nurse Practitioner (Family)
201 S CLINTON ST STE 168
IOWA CITY, IA 52240
Johnson County (319) 384-0520
MELISSA LEIGH OLTHOFF PA-C
Physician Assistant (Medical)
201 S CLINTON ST STE 168
IOWA CITY, IA 52240
Johnson County (319) 678-7329
KIMBERLY JEAN GREGORICH ARNP
Nurse Practitioner (Family)
201 S CLINTON ST STE 168
IOWA CITY, IA 52240
Johnson County (319) 384-8822
MARISSA AMIDON DNP, FNP-BC
Nurse Practitioner
201 S CLINTON ST STE 168
IOWA CITY, IA 52240
Johnson County (319) 384-0520
DR. BRANDON WILLIAM ABEL DNP
Nurse Practitioner (Family)
201 S CLINTON ST STE 168
IOWA CITY, IA 52240
Johnson County (319) 384-0520
NICOLE GABRIELLE CONNELLY ARNP
Nurse Practitioner
201 S CLINTON ST STE 168
IOWA CITY, IA 52240
Johnson County (319) 384-0520
ASHLEY DUNN PA
Physician Assistant
201 S CLINTON ST STE 168
IOWA CITY, IA 52240
Johnson County (319) 384-0520

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 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.

Where is Nicole Souphis located?

Nicole Souphis practices at 201 S Clinton St Ste 168, Iowa City, IA 52240. The listed phone number is (319) 384-0520.

What is Nicole Souphis's specialty?

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

Is Nicole Souphis enrolled in Medicare?

Yes. Nicole Souphis 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 Nicole Souphis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Souphis reassigns Medicare benefits to 2 organizations: State University Of Iowa (Iowa City, IA) and Physicians' Clinic Of Iowa, PC (Cedar Rapids, 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 Nicole Souphis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Souphis accept?

Health plans from Ambetter Health, Ambetter from Sunflower Health Plan, Medica, Oscar Insurance Company and Sanford Health Plan and 1 other insurer list Nicole Souphis 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 Nicole Souphis affiliated with any hospitals?

According to CMS data, Nicole Souphis is affiliated with St Lukes Hospital and University Of Iowa Hospital & Clinics.

When was this NPI record last updated?

The NPPES record for Nicole Souphis was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.