KELSEY JEAN HILL
NPI 1467056457
Nurse Practitioner in Waterloo, IA

Active since November 30, 2020PECOS EnrolledAccepts Medicare Assignment
1825 LOGAN AVE, WATERLOO, IA 50703(319) 235-3838(319) 235-5272 Get Directions Write a Review

NPPES record last updated: April 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 7, 2024, Jul 24, 2023, May 10, 2021 and 2 more (5 updates tracked since 2020).

About Kelsey Jean Hill NPPES

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

KELSEY JEAN HILL (NPI 1467056457) is an individual nurse practitioner in Waterloo, Iowa, licensed in Iowa (A161044) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Allen Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1467056457
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELSEY JEAN HILL
Location Address1825 LOGAN AVEWaterloo, IA 50703-1916
Mailing Address1825 Logan AveWaterloo, IA 50703-1916 · (319) 235-3838
Fax(319) 235-5272
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 30, 2020
Last NPPES UpdateApril 7, 20245 updates tracked since enumeration
NPPES CertifiedApril 7, 2024
✔ NPI 1467056457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IA · A161044
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1825 LOGAN AVE, Waterloo, IA 50703

Accepted 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

Kelsey Jean Hill 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 ID4789097189
PECOS Enrollment IDI20210104000376
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 Kelsey Hill reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
1825 LOGAN AVE
Waterloo, IA 50703
  • Reassigned Medicare billing, Iowa enrollment
  • 273 clinicians in this Medicare group
General Practice
8101 BIRCHWOOD CT, SUITE N
Johnston, IA 50131
  • Reassigned Medicare billing, Iowa enrollment
  • 1,506 clinicians in this Medicare group

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 5

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.
45 services43 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
37 services34 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
34 services34 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
19 services18 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Allen Hospital

Acute Care Hospitals · Waterloo, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160110
Location1825 Logan AvenueWaterloo, IA 50703 · Black Hawk County
Emergency services Birthing friendly

Waverly Health Center

Critical Access Hospitals · Waverly, IA
OwnershipGovernment - Local
CMS Certification Number161339
Location312 9th Street SWWaverly, IA 50677 · Bremer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50703 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.

Anesthesiology
1825 LOGAN AVE
WATERLOO, IA 50703
Nurse Practitioner
1825 LOGAN AVE, WOUND & OSTOMY CLINIC
WATERLOO, IA 50703
Physician Assistant
1825 LOGAN AVE
WATERLOO, IA 50703
Clinical Medical Laboratory
1825 LOGAN AVE
WATERLOO, IA 50703
Nurse Practitioner (Family)
1825 LOGAN AVE
WATERLOO, IA 50703
Internal Medicine
1825 LOGAN AVE
WATERLOO, IA 50703
Pharmacist
1825 LOGAN AVE
WATERLOO, IA 50703
Social Worker (Clinical)
1825 LOGAN AVE
WATERLOO, IA 50703

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 Kelsey Hill's NPI number?

The NPI number for Kelsey Hill is 1467056457. It was assigned to this individual provider in the NPPES registry on November 30, 2020.

Where is Kelsey Hill located?

Kelsey Hill practices at 1825 Logan Ave, Waterloo, IA 50703. The listed phone number is (319) 235-3838.

What is Kelsey Hill's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kelsey Hill enrolled in Medicare?

Yes. Kelsey Hill 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 Kelsey Hill's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Hill reassigns Medicare benefits to 2 organizations: Allen Memorial Hospital Corporation (Waterloo, IA) and Iowa Physicians Clinic Medical Foundation (Johnston, 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 Kelsey Hill's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelsey Hill accept?

Health plans from Wellmark Health Plan of Iowa, Inc. list Kelsey Hill 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 Kelsey Hill affiliated with any hospitals?

According to CMS data, Kelsey Hill is affiliated with Allen Hospital and Waverly Health Center.

When was this NPI record last updated?

The NPPES record for Kelsey Hill was last updated on April 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.