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DEBRA MARIE ADAMS ARNP
NPI 1659659324
Nurse Practitioner in Fort Dodge, IA

Active since July 29, 2011PECOS EnrolledAccepts Medicare Assignment
94.12/100
CMS Quality Rating
802 KENYON RD, 513, FORT DODGE, IA 50501(515) 574-6080(515) 573-2853 Get Directions Write a Review

NPPES record last updated: September 21, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Debra Marie Adams Arnp NPPES

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

DEBRA MARIE ADAMS ARNP (NPI 1659659324) is an individual nurse practitioner in Fort Dodge, Iowa, licensed in Iowa (A-080153) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1659659324
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDEBRA MARIE ADAMSCredential: ARNP
Location Address802 KENYON RD, 513Fort Dodge, IA 50501-5740
Mailing Address311 S Clark StCarroll, IA 51401-3038 · (515) 574-6080 · Fax (515) 573-2853
Phone(515) 574-6080
Fax(515) 573-2853
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 29, 2011
Last NPPES UpdateSeptember 21, 2016
✔ NPI 1659659324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IA · A-080153
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
802 KENYON RD, Fort Dodge, IA 50501
Open in Google Maps ↗

Other Names 1

Former Name (1)Debra Marie Higley

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

Debra Marie Adams 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 ID2668646456
PECOS Enrollment IDI20111111000681
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

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.
16 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50501 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.

94.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability87
Improvement Activities40
Cost91.25

Referred Medical Equipment & Supplies CMS DME claims 19

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

Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
1 supplier19 claims1,260 services$0.32 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
1 supplier32 claims950 services$7.07 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing A6197
DME-Medical/Surgical Supplies · category DA023N
1 supplier14 claims350 services$14.17 avg. paid by Medicare
Contact layer, sterile, 16 sq. in. or less, each dressing A6206
DME-Medical/Surgical Supplies · category DA023N
1 supplier14 claims96 services$4.75 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6209
DME-Medical/Surgical Supplies · category DA023N
1 supplier12 claims176 services$7.22 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing A6210
DME-Medical/Surgical Supplies · category DA023N
1 supplier26 claims366 services$19.08 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.

DR. SARAH ANNE TOFILON MD
Internal Medicine (Hematology & Oncology)
802 KENYON RD, MCFARLAND CLINIC
FORT DODGE, IA 50501
Webster County (515) 574-8302
DR. GAYLENE FAYE LYNCH D.O.
Emergency Medicine
802 KENYON RD
FORT DODGE, IA 50501
Webster County (515) 574-6684
CAITLIN MORIAH BERNAU
Nurse Practitioner (Family)
802 KENYON RD
FORT DODGE, IA 50501
Webster County (515) 574-6800
DR. CHRISTOPHER DAVID HILL D.O.
Emergency Medicine
802 KENYON RD
FORT DODGE, IA 50501
Webster County (515) 574-6684
CONNIE SUE FOX BSN, RN
Registered Nurse
802 KENYON RD
FORT DODGE, IA 50501
Webster County (515) 574-8322
TRINITY REGIONAL MEDICAL CENTER
Emergency Medicine
802 KENYON RD
FORT DODGE, IA 50501
Webster County (515) 573-3101
SAVANNAH MEREDITH WILTFANG DNAP, CRNA
Nurse Anesthetist, Certified Registered
802 KENYON RD
FORT DODGE, IA 50501
Webster County (515) 574-6865
JAMES MATTHEW WILSON M.D.
Internal Medicine (Critical Care Medicine)
802 KENYON RD
FORT DODGE, IA 50501
Webster County (515) 573-3101

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 Debra Adams's NPI number?

The NPI number for Debra Adams is 1659659324. It was assigned to this individual provider in the NPPES registry on July 29, 2011. The provider is also known as Debra Marie Higley.

Where is Debra Adams located?

Debra Adams practices at 802 Kenyon Rd 513, Fort Dodge, IA 50501. The listed phone number is (515) 574-6080.

What is Debra Adams's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Debra Adams enrolled in Medicare?

Yes. Debra Adams 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 Debra Adams 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 1 other insurer list Debra Adams 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 Debra Adams was last updated on September 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.