MICHELLE ELGIN D.O.
NPI 1649255639
Family Medicine in Vinton, IA
About Michelle Elgin D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHELLE ELGIN D.O. (NPI 1649255639) is an individual family medicine provider in Vinton, Iowa, licensed in Iowa (3470) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2001).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Michelle Elgin D.o. 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.
Medicare Billing Reassignment
Medicare enrollment records show Michelle Elgin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vinton, IA 52349
- Reassigned Medicare billing, Iowa enrollment
- Also billed through NPI 1164486726 (Iowa)
- 23 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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Lukes Hospital
Acute Care Hospitals · Cedar Rapids, IAMercy Medical Center - Cedar Rapids
Acute Care Hospitals · Cedar Rapids, IAAllen Hospital
Acute Care Hospitals · Waterloo, IAVirginia Gay Hospital
Critical Access Hospitals · Vinton, IAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 52349 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 18
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Elgin's NPI number?
The NPI number for Michelle Elgin is 1649255639. It was assigned to this individual provider in the NPPES registry on December 13, 2005.
Where is Michelle Elgin located?
Michelle Elgin practices at 504 N 9th Ave, Vinton, IA 52349. The listed phone number is (319) 472-6300.
What is Michelle Elgin's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Michelle Elgin enrolled in Medicare?
Yes. Michelle Elgin 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 organization bills Medicare for Michelle Elgin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Elgin reassigns Medicare benefits to Virginia Gay Hospital, Inc (Vinton, IA). The 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 Michelle Elgin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michelle Elgin accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Insurance Company and 1 other insurer list Michelle Elgin 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 Elgin affiliated with any hospitals?
According to CMS data, Michelle Elgin is affiliated with St Lukes Hospital, Mercy Medical Center - Cedar Rapids, Allen Hospital and Virginia Gay Hospital.
When was this NPI record last updated?
The NPPES record for Michelle Elgin was last updated on November 5, 2020. 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.
# Michelle Elgin, D.O. · NPI 1649255639
Family Medicine physician in Vinton, Iowa. Individual provider, active in the CMS NPPES registry since December 13, 2005.
## Identity
- **NPI:** 1649255639 (Entity type: Individual)
- **Enumerated:** December 13, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 3470 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 504 N 9TH AVE, Vinton, IA 52349-2254
- **Phone:** (319) 472-6300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Virginia Gay Hospital, Inc (NPI 1447293063, Vinton, IA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Des Moines University Of Osteopathic Medicine And Health Sciences, class of 2001
## Record status
- **NPPES last updated:** November 5, 2020
- **Other identifiers:** Other 55965 (IA); Other 17543 (IA); Medicaid 5269613 (IA)
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Source: [NPI Profile](https://npiprofile.com/npi/1649255639) · Data from the CMS NPPES public registry.