DR. SAMANTHA JO MIKOTA REICKS DNP, ARNP
NPI 1508208042
Nurse Practitioner - Family in Decorah, IA

Active since July 25, 2013PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
901 MONTGOMERY ST, DECORAH, IA 52101(563) 382-2911(563) 387-3102 Get Directions Write a Review

NPPES record last updated: September 5, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Samantha Jo Mikota Reicks Dnp, Arnp NPPES

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

DR. SAMANTHA JO MIKOTA REICKS DNP, ARNP (NPI 1508208042) is an individual family provider in Decorah, Iowa, licensed in Iowa (A121332) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Winnmed, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1508208042
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. SAMANTHA JO MIKOTA REICKSCredential: DNP, ARNP
Location Address901 MONTGOMERY STDecorah, IA 52101-2325
Mailing Address901 Montgomery StDecorah, IA 52101-2325 · (563) 382-2911 · Fax (563) 387-3102
Fax(563) 387-3102
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 25, 2013
Last NPPES UpdateSeptember 5, 2017
NPI 1508208042 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 · A121332
901 MONTGOMERY ST, Decorah, IA 52101

Other Names 1

Former Name (1)Samantha Jo Mikota

Other Identifiers 1

Medicaid1508208042IA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Samantha Jo Mikota Reicks Dnp, 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 ID6002043049
PECOS Enrollment IDI20131218001030
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.

Hospital Affiliations CMS Care Compare

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

Winnmed

Critical Access Hospitals · Decorah, IA
OwnershipGovernment - Local
CMS Certification Number161371
Location901 Montgomery StreetDecorah, IA 52101 · Winneshiek County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52101 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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$50.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
901 MONTGOMERY ST
DECORAH, IA 52101
Physician Assistant
901 MONTGOMERY ST
DECORAH, IA 52101
Nurse Anesthetist, Certified Registered
901 MONTGOMERY ST
DECORAH, IA 52101
Nurse Anesthetist, Certified Registered
901 MONTGOMERY ST
DECORAH, IA 52101
Nurse Practitioner
901 MONTGOMERY ST
DECORAH, IA 52101
Specialist/Technologist (Athletic Trainer)
901 MONTGOMERY ST
DECORAH, IA 52101
Family Medicine
901 MONTGOMERY ST
DECORAH, IA 52101
Physician Assistant (Surgical)
901 MONTGOMERY ST
DECORAH, IA 52101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508208042, enumerated as an "individual" on July 25, 2013.

The provider is located at 901 MONTGOMERY ST DECORAH, IA 52101 and the phone number is (563) 382-2911.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Samantha Reicks is affiliated with: WINNMED.