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KRYSTAL DAWN SCHMIEG ARNP
NPI 1427774074
Nurse Practitioner - Family in West Burlington, IA

Active since October 17, 2022PECOS EnrolledAccepts Medicare Assignment
77.81/100
CMS Quality Rating
1223 S GEAR AVE STE 304, WEST BURLINGTON, IA 52655(319) 768-3240 Get Directions Write a Review

NPPES record last updated: October 17, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Krystal Dawn Schmieg Arnp NPPES

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

KRYSTAL DAWN SCHMIEG ARNP (NPI 1427774074) is an individual family provider in West Burlington, Iowa, licensed in Iowa (F09221017) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with Southeast Iowa Regional Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1427774074
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRYSTAL DAWN SCHMIEGCredential: ARNP
Location Address1223 S GEAR AVE STE 304West Burlington, IA 52655-1689
Mailing Address2307 Dehn StBurlington, IA 52601-2105 · (319) 572-0475
Phone(319) 768-3240
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 17, 2022
NPPES CertifiedOctober 14, 2022
✔ NPI 1427774074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IA · F09221017
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License F09221017 (IA)
1223 S GEAR AVE STE 304, West Burlington, IA 52655
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 and accepts Medicare assignment

Krystal Dawn Schmieg 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 ID2961871272
PECOS Enrollment IDI20221208001729
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 Krystal Schmieg reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southeast Iowa Regional Medical Center, Inc.
Same address
General Practice
1221 S GEAR AVE
West Burlington, IA 52655
  • Reassigned Medicare billing, Iowa enrollment
  • 253 clinicians in this Medicare group
NPI 1164433884 (319) 768-3626
Henry County Health Center, Inc.
23 mi
Critical Access
407 S WHITE ST
Mount Pleasant, IA 52641
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1871177477 (Iowa)
  • 142 clinicians in this Medicare group
NPI 1811571417 (319) 385-3141

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 4

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.
334 services156 patients
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.
78 services35 patients
Smoking and tobacco use intensive counseling, 4-10 minutes 99406
This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.
37 services20 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Southeast Iowa Regional Medical Center

Acute Care Hospitals · West Burlington, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160057
Location1221 South Gear AvenueWest Burlington, IA 52655 · Des Moines County
Emergency services Birthing friendly

Henry County Health Center

Critical Access Hospitals · Mount Pleasant, IA
OwnershipGovernment - Local
CMS Certification Number161356
Location407 S White StMount Pleasant, IA 52641 · Henry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52655 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.62
Promoting Interoperability100
Improvement Activities40
Cost58.43

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 Krystal Schmieg's NPI number?

The NPI number for Krystal Schmieg is 1427774074. It was assigned to this individual provider in the NPPES registry on October 17, 2022.

Where is Krystal Schmieg located?

Krystal Schmieg practices at 1223 S Gear Ave Ste 304, West Burlington, IA 52655. The listed phone number is (319) 768-3240.

What is Krystal Schmieg's specialty?

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

Is Krystal Schmieg enrolled in Medicare?

Yes. Krystal Schmieg 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 Krystal Schmieg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krystal Schmieg reassigns Medicare benefits to 2 organizations: Southeast Iowa Regional Medical Center, Inc. (West Burlington, IA) and Henry County Health Center, Inc. (Mount Pleasant, 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 Krystal Schmieg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Krystal Schmieg 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 Krystal Schmieg 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 Krystal Schmieg affiliated with any hospitals?

According to CMS data, Krystal Schmieg is affiliated with Southeast Iowa Regional Medical Center and Henry County Health Center.

When was this NPI record last updated?

The NPPES record for Krystal Schmieg was last updated on October 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.