DR. KATIE ANNE HALBMAIER DNP
NPI 1669958922
Nurse Practitioner - Family in Iowa City, IA

Active since July 19, 2018PECOS EnrolledAccepts Medicare Assignment
200 HAWKINS DR, IOWA CITY, IA 52242(319) 356-7374(319) 353-6343 Get Directions Write a Review

NPPES record last updated: November 2, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 2, 2018, Jul 19, 2018 (2 updates tracked since 2018).

About Dr. Katie Anne Halbmaier Dnp NPPES

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

DR. KATIE ANNE HALBMAIER DNP (NPI 1669958922) is an individual family provider in Iowa City, Iowa, licensed in Iowa (A136020) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with Southeast Iowa Regional Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1669958922
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. KATIE ANNE HALBMAIERCredential: DNP
Location Address200 HAWKINS DRIowa City, IA 52242-1009
Mailing Address200 Hawkins DrIowa City, IA 52242-1009 · (319) 356-7374 · Fax (319) 353-6343
Fax(319) 353-6343
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 19, 2018
Last NPPES UpdateNovember 2, 20182 updates tracked since enumeration
✔ NPI 1669958922 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 · A136020
200 HAWKINS DR, Iowa City, IA 52242

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

Dr. Katie Anne Halbmaier 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 ID3072867654
PECOS Enrollment IDI20181117000481
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 Reassignment

Medicare enrollment records show Katie Halbmaier reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dentist
200 HAWKINS DRIVE, 51300 POMERANTZ FAMILY PAVILION
Iowa City, IA 52242
  • Reassigned Medicare billing, Iowa enrollment
  • 2,190 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.

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 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.
390 services272 patients

Hospital Affiliations CMS Care Compare 4

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

University Of Iowa Hospital & Clinics

Acute Care Hospitals · Iowa City, IA
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number160058
Location200 Hawkins DriveIowa City, IA 52242 · Johnson County
Emergency services Birthing friendly

Allen Hospital

Acute Care Hospitals · Waterloo, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160110
Location1825 Logan AvenueWaterloo, IA 50703 · Black Hawk 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 52242 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.

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.

Emergency Medicine
200 HAWKINS DR
IOWA CITY, IA 52242
Internal Medicine (Gastroenterology)
200 HAWKINS DR
IOWA CITY, IA 52242
Internal Medicine (Hematology & Oncology)
200 HAWKINS DR, DEPT OF INTERNAL MEDICINE
IOWA CITY, IA 52242
Internal Medicine (Critical Care Medicine)
200 HAWKINS DR
IOWA CITY, IA 52242
Chronic Disease Hospital
200 HAWKINS DR
IOWA CITY, IA 52242
Genetic Counselor, MS
200 HAWKINS DR, 31663 PFP
IOWA CITY, IA 52242
Obstetrics & Gynecology
200 HAWKINS DR, DEPT OF OBGYN
IOWA CITY, IA 52242
Health Educator
200 HAWKINS DR, 0733 JPP
IOWA CITY, IA 52242

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 Katie Halbmaier's NPI number?

The NPI number for Katie Halbmaier is 1669958922. It was assigned to this individual provider in the NPPES registry on July 19, 2018.

Where is Katie Halbmaier located?

Katie Halbmaier practices at 200 Hawkins Dr, Iowa City, IA 52242. The listed phone number is (319) 356-7374.

What is Katie Halbmaier's specialty?

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

Is Katie Halbmaier enrolled in Medicare?

Yes. Katie Halbmaier 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 Katie Halbmaier's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katie Halbmaier reassigns Medicare benefits to State University Of Iowa (Iowa City, 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 Katie Halbmaier's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katie Halbmaier 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 2 other insurers list Katie Halbmaier 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 Katie Halbmaier affiliated with any hospitals?

According to CMS data, Katie Halbmaier is affiliated with Southeast Iowa Regional Medical Center, University Of Iowa Hospital & Clinics, Allen Hospital and Henry County Health Center.

When was this NPI record last updated?

The NPPES record for Katie Halbmaier was last updated on November 2, 2018. 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.