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MICHELLE L HOUGHTON
NPI 1609445733
Nurse Practitioner - Psychiatric/Mental Health in Fort Madison, IA

Active since June 22, 2021PECOS EnrolledAccepts Medicare Assignment
77.81/100
CMS Quality Rating
5445 AVENUE O, FORT MADISON, IA 52627(319) 372-6530 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 29, 2021, Jun 22, 2021 (2 updates tracked since 2021).

About Michelle L Houghton NPPES

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

MICHELLE L HOUGHTON (NPI 1609445733) is an individual psychiatric/mental health provider in Fort Madison, Iowa, licensed in Iowa (G164310) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Southeast Iowa Regional Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1609445733
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMICHELLE L HOUGHTON
Location Address5445 AVENUE OFort Madison, IA 52627-9611
Mailing Address1626 Missouri AveKeokuk, IA 52632-3112 · (319) 795-4687
Phone(319) 372-6530
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 22, 2021
Last NPPES UpdateJune 29, 20212 updates tracked since enumeration
NPPES CertifiedJune 29, 2021
✔ NPI 1609445733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IA · G164310
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5445 AVENUE O, Fort Madison, IA 52627
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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

Michelle L Houghton 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 ID4385048586
PECOS Enrollment IDI20210810003743
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.

Areas of Expertise CMS Part B claims 4

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.
223 services74 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
69 services68 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
29 services15 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.
23 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Southeast Iowa Regional Medical Center

Acute Care Hospitals · West Burlington, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160057
Location1221 South Gear AvenueWest Burlington, IA 52655 · Des Moines County
Emergency services Birthing friendly

Henry County Health Center

Critical Access Hospitals · Mount Pleasant, IA
OwnershipGovernment - Local
CMS Certification Number161356
Location407 S White StMount Pleasant, IA 52641 · Henry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52627 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.

77.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.62
Promoting Interoperability100
Improvement Activities40
Cost58.43

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.

STEVE KNIGHT CRNA
Nurse Anesthetist, Certified Registered
5445 AVENUE O
FORT MADISON, IA 52627
Lee County (319) 372-6530
SAMANTHA KNOTT DPT
Physical Therapist
5445 AVENUE O
FORT MADISON, IA 52627
Lee County (319) 376-2180
MATTHEW WICKERT PT
Physical Therapist (Orthopedic)
5445 AVENUE O
FORT MADISON, IA 52627
Lee County (660) 341-1684
RICHARD MARK GODDARD M.D.
Obstetrics & Gynecology
5445 AVENUE O
FORT MADISON, IA 52627
Lee County (319) 768-1000
NICHOLAS WARNEKE DPT
Physical Therapist
5445 AVENUE O
FORT MADISON, IA 52627
Lee County (319) 376-2180
REGAN STELLERN CPNP-PC, DNP
Nurse Practitioner (Pediatrics)
5445 AVENUE O
FORT MADISON, IA 52627
Lee County (319) 372-6530
MR. BRYON SOBCZAK CRNA
Nurse Anesthetist, Certified Registered
5445 AVENUE O
FORT MADISON, IA 52627
Lee County (319) 376-2047
MRS. LEANN M MOELLER DPT
Physical Therapist
5445 AVENUE O
FORT MADISON, IA 52627
Lee County (319) 376-2180

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 Michelle Houghton's NPI number?

The NPI number for Michelle Houghton is 1609445733. It was assigned to this individual provider in the NPPES registry on June 22, 2021.

Where is Michelle Houghton located?

Michelle Houghton practices at 5445 Avenue O, Fort Madison, IA 52627. The listed phone number is (319) 372-6530.

What is Michelle Houghton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Michelle Houghton enrolled in Medicare?

Yes. Michelle Houghton 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.

What insurance does Michelle Houghton accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Michelle Houghton 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 Michelle Houghton affiliated with any hospitals?

According to CMS data, Michelle Houghton is affiliated with Southeast Iowa Regional Medical Center and Henry County Health Center.

When was this NPI record last updated?

The NPPES record for Michelle Houghton was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.