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NICOLE FRANCES WILCOX DNP
NPI 1659896587
Nurse Practitioner - Family in Fort Madison, IA

Active since August 11, 2017PECOS EnrolledAccepts Medicare Assignment
77.81/100
CMS Quality Rating
5409 AVENUE O, FORT MADISON, IA 52627(319) 376-2134(319) 376-2188 Get Directions Write a Review

NPPES record last updated: April 16, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 16, 2021, Aug 11, 2017 (2 updates tracked since 2017).

About Nicole Frances Wilcox Dnp NPPES

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

NICOLE FRANCES WILCOX DNP (NPI 1659896587) is an individual family provider in Fort Madison, Iowa, licensed in Iowa (A137579) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, is affiliated with Southeast Iowa Regional Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1659896587
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE FRANCES WILCOXCredential: DNP
Location Address5409 AVENUE OFort Madison, IA 52627-9601
Mailing Address5409 Avenue OFort Madison, IA 52627-9601 · (319) 376-2134 · Fax (319) 376-2188
Phone(319) 376-2134
Fax(319) 376-2188
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 11, 2017
Last NPPES UpdateApril 16, 20212 updates tracked since enumeration
NPPES CertifiedApril 16, 2021
✔ NPI 1659896587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IA · A137579
5409 AVENUE O, Fort Madison, IA 52627
Open in Google Maps ↗

Other Names 1

Former Name (1)Nicole Frances Wagner

Accepted Insurance

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

Nicole Frances Wilcox Dnp 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 ID941569883
PECOS Enrollment IDI20180122002288
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 Nicole Wilcox reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southeast Iowa Regional Medical Center, Inc.
20 mi
General Practice
1221 S GEAR AVE
West Burlington, IA 52655
  • Reassigned Medicare billing, Iowa enrollment
  • 253 clinicians in this Medicare group
NPI 1164433884 (319) 768-3626
Henry County Health Center Inc
27 mi
General Practice
407 S WHITE ST
Mount Pleasant, IA 52641
  • Reassigned Medicare billing, Iowa enrollment
  • 110 clinicians in this Medicare group
NPI 1871177477 (319) 385-3141

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 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.
138 services128 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.
92 services89 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.
33 services33 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.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

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.

WESLEY RIGGS BAGAN M.D.
Surgery
5409 AVENUE O
FORT MADISON, IA 52627
Lee County (319) 376-2134
GREGORY F GORSKI M.D.
Pediatrics
5409 AVENUE O
FORT MADISON, IA 52627
Lee County (319) 376-2134
TIMOTHY STAUDTE D.O.
Obstetrics & Gynecology
5409 AVENUE O
FORT MADISON, IA 52627
Lee County (319) 376-2134
CHASE A. NEWTON D.O.
Family Medicine
5409 AVENUE O
FORT MADISON, IA 52627
Lee County (319) 376-2134
MRS. MICHELLE LYNN HORNUNG FNP-C
Nurse Practitioner (Family)
5409 AVENUE O
FORT MADISON, IA 52627
Lee County (319) 376-2134
JAMES G KANNENBERG M.D.
Family Medicine
5409 AVENUE O
FORT MADISON, IA 52627
Lee County (319) 376-2134
AMY D WALLIS FNP
Nurse Practitioner (Family)
5409 AVENUE O
FORT MADISON, IA 52627
Lee County (319) 376-2134
KATHY J ANDERSON M.D.
General Practice
5409 AVENUE O
FORT MADISON, IA 52627
Lee County (319) 376-2134

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 Nicole Wilcox's NPI number?

The NPI number for Nicole Wilcox is 1659896587. It was assigned to this individual provider in the NPPES registry on August 11, 2017. The provider is also known as Nicole Frances Wagner.

Where is Nicole Wilcox located?

Nicole Wilcox practices at 5409 Avenue O, Fort Madison, IA 52627. The listed phone number is (319) 376-2134.

What is Nicole Wilcox's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nicole Wilcox enrolled in Medicare?

Yes. Nicole Wilcox 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 Nicole Wilcox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Wilcox reassigns Medicare benefits to 2 organizations: Southeast Iowa Regional Medical Center, Inc. (West Burlington, IA) and Henry County Health Center Inc (Mount Pleasant, 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 Nicole Wilcox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Wilcox accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Wellmark Health Plan of Iowa, Inc. list Nicole Wilcox 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 Nicole Wilcox affiliated with any hospitals?

According to CMS data, Nicole Wilcox is affiliated with Southeast Iowa Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Wilcox was last updated on April 16, 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.