NICHOLE CARROLL ARNP
NPI 1568198992
Nurse Practitioner - Acute Care in Iowa City, IA

Active since July 27, 2022PECOS EnrolledAccepts Medicare Assignment
300 SOUTHGATE AVE, IOWA CITY, IA 52240(319) 688-8000 Get Directions Write a Review

NPPES record last updated: July 27, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Nichole Carroll Arnp NPPES

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

NICHOLE CARROLL ARNP (NPI 1568198992) is an individual acute care provider in Iowa City, Iowa, licensed in Iowa (H169964) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1568198992
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameNICHOLE CARROLLCredential: ARNP
Location Address300 SOUTHGATE AVEIowa City, IA 52240-4357
Mailing Address4124 V StHomestead, IA 52236-8536 · (319) 331-1789
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 27, 2022
NPPES CertifiedJuly 26, 2022
✔ NPI 1568198992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in IA · H169964
300 SOUTHGATE AVE, Iowa City, IA 52240

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

Nichole Carroll 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 ID6709313521
PECOS Enrollment IDI20241218001149
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 Nichole Carroll reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Iowa enrollment
  • 36 clinicians in this Medicare group
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Iowa enrollment
  • 6 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52240 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.

Substance Abuse Rehabilitation Facility
300 SOUTHGATE AVE
IOWA CITY, IA 52240

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 Nichole Carroll's NPI number?

The NPI number for Nichole Carroll is 1568198992. It was assigned to this individual provider in the NPPES registry on July 27, 2022.

Where is Nichole Carroll located?

Nichole Carroll practices at 300 Southgate Ave, Iowa City, IA 52240. The listed phone number is (319) 688-8000.

What is Nichole Carroll's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Nichole Carroll enrolled in Medicare?

Yes. Nichole Carroll 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 Nichole Carroll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nichole Carroll reassigns Medicare benefits to 2 organizations: Theoria Medical (Novi, MI) and Complexcare Medical Group Midwest H PLLC (Novi, MI). 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 Nichole Carroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nichole Carroll accept?

Health plans from Wellmark Health Plan of Iowa, Inc. list Nichole Carroll 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 Nichole Carroll was last updated on July 27, 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.