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NICOLE CHISUM NP
NPI 1497528491
Nurse Practitioner - Family in Ogden, IA

Active since November 01, 2023PECOS EnrolledAccepts Medicare Assignment
320 W WALNUT STREET, OGDEN, IA 50212(515) 275-2417(515) 275-4678 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 23, 2025, Nov 1, 2023 (2 updates tracked since 2023).

About Nicole Chisum Np NPPES

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

NICOLE CHISUM NP (NPI 1497528491) is an individual family provider in Ogden, Iowa, licensed in Iowa (A184261) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, is affiliated with Boone County Hospital, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2023).

NPPES Registry Identity

NPI1497528491
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE CHISUMCredential: NP
Location Address320 W WALNUT STREETOgden, IA 50212-3060
Mailing Address1015 Union StreetBoone, IA 50036-4821 · (515) 432-3140
Phone(515) 275-2417
Fax(515) 275-4678
Sole ProprietorYes
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2023
Enumeration DateNovember 1, 2023
Last NPPES UpdateDecember 23, 20252 updates tracked since enumeration
NPPES CertifiedDecember 23, 2025
✔ NPI 1497528491 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
Licenses✔ Licensed in IA · A184261✔ Licensed in TX · 1133002
320 W WALNUT STREET, Ogden, IA 50212
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

Nicole Chisum Np 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 ID4385087402
PECOS Enrollment IDI20250630002179
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

4

Medicare enrollment records show Nicole Chisum reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Boone County Hospital
Same address
Family Medicine
320 W WALNUT ST
Ogden, IA 50212
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1942664602 (Iowa)
  • 41 clinicians in this Medicare group
NPI 1730503319 (515) 275-2417
Boone County Family Medicine Tr
7.7 mi
Family Medicine
1115 S MARSHALL ST
Boone, IA 50036
  • Reassigned Medicare billing, Iowa enrollment
  • 15 clinicians in this Medicare group
NPI 1033154836 (515) 432-2335
Madrid Family Practice Clinic
14 mi
Family
623 W NORTH ST
Madrid, IA 50156
  • Reassigned Medicare billing, Iowa enrollment
  • 9 clinicians in this Medicare group
NPI 1508882705 (515) 795-4300
Christine Holland MD PA
639 mi
Family Medicine
800 MEDICAL CENTER DR STE C
Decatur, TX 76234
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Christine Holland, M.D., P. A.
  • 59 clinicians in this Medicare group
NPI 1962677740 (940) 626-2110

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 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.
168 services145 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
23 services22 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.
21 services18 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
20 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Boone County Hospital

Critical Access Hospitals · Boone, IA
OwnershipGovernment - Local
CMS Certification Number161372
Location1015 Union StreetBoone, IA 50036 · Boone County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50212 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

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

HAYDEE G HERNANDEZ D.O.
Family Medicine
320 W WALNUT STREET
OGDEN, IA 50212
Boone County (515) 275-2417

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 Chisum's NPI number?

The NPI number for Nicole Chisum is 1497528491. It was assigned to this individual provider in the NPPES registry on November 1, 2023.

Where is Nicole Chisum located?

Nicole Chisum practices at 320 W Walnut Street, Ogden, IA 50212. The listed phone number is (515) 275-2417.

What is Nicole Chisum's specialty?

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

Is Nicole Chisum enrolled in Medicare?

Yes. Nicole Chisum 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 Chisum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Chisum reassigns Medicare benefits to 4 organizations: Boone County Hospital (Ogden, IA), Boone County Family Medicine Tr (Boone, IA), Madrid Family Practice Clinic (Madrid, IA) and Christine Holland MD PA (Decatur, TX). 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 Chisum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Chisum 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 Nicole Chisum 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 Chisum affiliated with any hospitals?

According to CMS data, Nicole Chisum is affiliated with Boone County Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Chisum was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.