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DR. NICHOLAS JON MOUW M.D.
NPI 1659668242
Surgery in Sioux Center, IA

Active since July 01, 2011PECOS EnrolledAccepts Medicare Assignment
1101 9TH ST SE, SIOUX CENTER, IA 51250(712) 722-2609(712) 722-8370 Get Directions Write a Review

NPPES record last updated: November 2, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 2, 2017, Jun 29, 2016, Jan 12, 2016 (3 updates tracked since 2016).

About Dr. Nicholas Jon Mouw M.d. NPPES

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

DR. NICHOLAS JON MOUW M.D. (NPI 1659668242) is an individual surgery provider in Sioux Center, Iowa, licensed in Iowa (43604) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Avera Merrill Pioneer Hospital, and is a graduate of University Of Colorado School Of Medicine, Denver (2011).

NPPES Registry Identity

NPI1659668242
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. NICHOLAS JON MOUWCredential: M.D.
Location Address1101 9TH ST SESioux Center, IA 51250-2501
Mailing Address1101 9th St SeSioux Center, IA 51250-2501 · (712) 722-2609 · Fax (712) 722-8370
Phone(712) 722-2609
Fax(712) 722-8370
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2011
Enumeration DateJuly 1, 2011
Last NPPES UpdateNovember 2, 20173 updates tracked since enumeration
✔ NPI 1659668242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IA · 43604
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1101 9TH ST SE, Sioux Center, IA 51250
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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

Dr. Nicholas Jon Mouw M.d. 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 ID2769621580
PECOS Enrollment IDI20160831000071
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 Nicholas Mouw reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sioux Center Health
Same address
Critical Access
1101 9TH ST SE
Sioux Center, IA 51250
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1669542981 (Iowa)
  • 45 clinicians in this Medicare group
NPI 1326056755 (712) 722-1271
Avera Mckennan
12 mi
Critical Access
1100 S 10TH AVE
Rock Rapids, IA 51246
  • Reassigned Medicare billing, Iowa enrollment
  • 22 clinicians in this Medicare group
NPI 1750854956 (712) 472-5400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
53 services51 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
45 services45 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
40 services40 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
29 services29 patients
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.
25 services20 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
25 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Avera Merrill Pioneer Hospital

Critical Access Hospitals · Rock Rapids, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161321
Location1100 S 10th AveRock Rapids, IA 51246 · Lyon County
Emergency services

Hegg Memorial Health Center

Critical Access Hospitals · Rock Valley, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161336
Location1202 21st AvenueRock Valley, IA 51247 · Sioux County
Emergency services

Sioux Center Health

Critical Access Hospitals · Sioux Center, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161346
Location1101 9th Street SESioux Center, IA 51250 · Sioux County
Emergency services

Floyd Valley Healthcare

Critical Access Hospitals · Le Mars, IA
OwnershipGovernment - Local
CMS Certification Number161368
Location714 Lincoln St NELe Mars, IA 51031 · Plymouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51250 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
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BETHANY SCHOLTEN CNP
Nurse Practitioner (Family)
1101 9TH ST SE
SIOUX CENTER, IA 51250
Sioux County (712) 722-2609
ALISON JOY SCHUTT MD
Family Medicine
1101 9TH ST SE
SIOUX CENTER, IA 51250
Sioux County (712) 722-1271
JEANNE M KLEINHESSELINK PMHNP
Nurse Practitioner (Family)
1101 9TH ST SE
SIOUX CENTER, IA 51250
Sioux County (712) 722-8396
ALEXYA VAN GINKEL
Occupational Therapist
1101 9TH ST SE
SIOUX CENTER, IA 51250
Sioux County (712) 722-1271
TRENT GELEYNSE
Physical Therapist
1101 9TH ST SE
SIOUX CENTER, IA 51250
Sioux County (712) 722-8125
SARA WIELENGA
Physical Therapist
1101 9TH ST SE
SIOUX CENTER, IA 51250
Sioux County (712) 722-8125
MRS. MORGAN MEISSNER PA-C
Physician Assistant (Medical)
1101 9TH ST SE
SIOUX CENTER, IA 51250
Sioux County (712) 722-2609
SHANNON VANDERKOOI DO
Family Medicine
1101 9TH ST SE
SIOUX CENTER, IA 51250
Sioux County (712) 722-1271

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 Nicholas Mouw's NPI number?

The NPI number for Nicholas Mouw is 1659668242. It was assigned to this individual provider in the NPPES registry on July 1, 2011.

Where is Nicholas Mouw located?

Nicholas Mouw practices at 1101 9th St SE, Sioux Center, IA 51250. The listed phone number is (712) 722-2609.

What is Nicholas Mouw's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Nicholas Mouw enrolled in Medicare?

Yes. Nicholas Mouw 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 Nicholas Mouw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Mouw reassigns Medicare benefits to 2 organizations: Sioux Center Health (Sioux Center, IA) and Avera Mckennan (Rock Rapids, IA). 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 Nicholas Mouw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Mouw accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Avera Health Plans and Oscar Insurance Company and 2 other insurers list Nicholas Mouw 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 Nicholas Mouw affiliated with any hospitals?

According to CMS data, Nicholas Mouw is affiliated with Avera Merrill Pioneer Hospital, Hegg Memorial Health Center, Sioux Center Health and Floyd Valley Healthcare.

When was this NPI record last updated?

The NPPES record for Nicholas Mouw was last updated on November 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.