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TERRI M SITZMAN NP-C
NPI 1447672589
Nurse Practitioner - Family in Johnston, IA

Active since January 08, 2014PECOS Enrolled
5900 PIONEER PKWY, JOHNSTON, IA 50131(515) 331-8109(515) 251-5514 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 13, 2026, Jan 4, 2024 (2 updates tracked since 2024).

About Terri M Sitzman Np-c NPPES

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

TERRI M SITZMAN NP-C (NPI 1447672589) is an individual family provider in Johnston, Iowa, licensed in Iowa (A122137) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447672589
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTERRI M SITZMANCredential: NP-C
Location Address5900 PIONEER PKWYJohnston, IA 50131-1569
Mailing Address5406 Merle Hay RdJohnston, IA 50131-1209 · (515) 727-8750
Phone(515) 331-8109
Fax(515) 251-5514
Sole ProprietorNo
Enumeration DateJanuary 8, 2014
Last NPPES UpdateMarch 13, 20262 updates tracked since enumeration
NPPES CertifiedMarch 13, 2026
✔ NPI 1447672589 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 · A122137
5900 PIONEER PKWY, Johnston, IA 50131
Open in Google Maps ↗

Other Names 1

Professional Name (2)Terri M Sitzman Np-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Insurance Company, UnitedHealthcare 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)

Terri M Sitzman Np-c 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 Reassignment

Medicare enrollment records show Terri Sitzman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Decatur County Hospital
63 mi
Critical Access
1405 NW CHURCH ST
Leon, IA 50144
  • Reassigned Medicare billing, Iowa enrollment
  • 38 clinicians in this Medicare group
NPI 1144209255 (641) 446-4871

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 50131 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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAULA R LAWSON PT, PCS
Physical Therapist
5900 PIONEER PKWY
JOHNSTON, IA 50131
Polk County (515) 270-2205
DEBORAH ANNE WHEELER COTA-L
Occupational Therapy Assistant
5900 PIONEER PKWY
JOHNSTON, IA 50131
Polk County (515) 270-2205
CHILDSERVE HABILITATION CENTER INC.
Intermediate Care Facility, Intellectual Disabilities
5900 PIONEER PKWY
JOHNSTON, IA 50131
Polk County (515) 270-2205
PENNY SUE EMMONS COTA-L
Occupational Therapy Assistant
5900 PIONEER PKWY
JOHNSTON, IA 50131
Polk County (515) 270-2205
CHILDSERVE HABILITATION CENTER
Skilled Nursing Facility (Nursing Care, Pediatric)
5900 PIONEER PKWY
JOHNSTON, IA 50131
Polk County (515) 270-2205

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 Terri Sitzman's NPI number?

The NPI number for Terri Sitzman is 1447672589. It was assigned to this individual provider in the NPPES registry on January 8, 2014. The provider is also known as Terri M Sitzman Np-C.

Where is Terri Sitzman located?

Terri Sitzman practices at 5900 Pioneer Pkwy, Johnston, IA 50131. The listed phone number is (515) 331-8109.

What is Terri Sitzman's specialty?

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

Is Terri Sitzman enrolled in Medicare?

Yes. Terri Sitzman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Terri Sitzman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Terri Sitzman reassigns Medicare benefits to Decatur County Hospital (Leon, IA). The 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 Terri Sitzman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Terri Sitzman accept?

Health plans from Oscar Health, Oscar Insurance Company, UnitedHealthcare and Wellmark Health Plan of Iowa, Inc. list Terri Sitzman 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 Terri Sitzman was last updated on March 13, 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.