MEGAN ELIZABETH GILMERE ACNPC-AG
NPI 1679240972
Nurse Practitioner in Cedar Rapids, IA

Active since August 24, 2021PECOS EnrolledAccepts Medicare Assignment
74.75/100
CMS Quality Rating
701 10TH ST SE, CEDAR RAPIDS, IA 52403(319) 461-3533 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Megan Elizabeth Gilmere Acnpc-ag NPPES

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

MEGAN ELIZABETH GILMERE ACNPC-AG (NPI 1679240972) is an individual nurse practitioner in Cedar Rapids, Iowa, licensed in Iowa (H164554) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1679240972
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMEGAN ELIZABETH GILMERECredential: ACNPC-AG
Location Address701 10TH ST SECedar Rapids, IA 52403-1251
Mailing Address289 Woodfield DrTiffin, IA 52340-4723 · (319) 461-3533
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 24, 2021
NPPES CertifiedJuly 6, 2021
NPI 1679240972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IA · H164554
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.

Also ListedRegistered NurseTaxonomy 163W00000X · License 119640 (IA)
701 10TH ST SE, Cedar Rapids, IA 52403

Other Identifiers 2

Other119640IA · Registered Nurse
OtherH164554IA · Nurse Practitioner

Accepted 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

Megan Elizabeth Gilmere Acnpc-ag 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 ID8224424460
PECOS Enrollment IDI20220415000284
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 17

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.

Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
214 services101 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.
199 services142 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.
186 services127 patients
Injection of trigger points, 3 or more muscles 20553
Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.
159 services89 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
110 services44 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
107 services107 patients

Hospital Affiliations CMS Care Compare 2

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

St Lukes Hospital

Acute Care Hospitals · Cedar Rapids, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160045
Location1026 A Ave NECedar Rapids, IA 52402 · Linn County
Emergency services Birthing friendly

Mercy Medical Center - Cedar Rapids

Acute Care Hospitals · Cedar Rapids, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number160079
Location701 10th Street SECedar Rapids, IA 52403 · Linn County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52403 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.

74.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.19
Improvement Activities40
Cost28.93

Referred Medical Equipment & Supplies CMS DME claims 2

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

Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation E0720
DME-Other DME · category DE000N
1 supplier14 claims14 services$13.08 avg. paid by Medicare
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0650
DME-Orthotic Devices · category DF007N
1 supplier14 claims14 services$769.31 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.

Psychiatry & Neurology (Psychiatry)
701 10TH ST SE
CEDAR RAPIDS, IA 52403
Speech-Language Pathologist
701 10TH ST SE
CEDAR RAPIDS, IA 52403
Obstetrics & Gynecology
701 10TH ST SE, J EDWARD LUNDY PAVILION 4TH FLOOR
CEDAR RAPIDS, IA 52403
Nurse Practitioner (Neonatal)
701 10TH ST SE
CEDAR RAPIDS, IA 52403
Pharmacist
701 10TH ST SE
CEDAR RAPIDS, IA 52403
Nurse Practitioner (Psychiatric/Mental Health)
701 10TH ST SE
CEDAR RAPIDS, IA 52403
Physical Therapist
701 10TH ST SE
CEDAR RAPIDS, IA 52403
Nurse Practitioner (Pediatrics)
701 10TH ST SE
CEDAR RAPIDS, IA 52403

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 Megan Gilmere's NPI number?

The NPI number for Megan Gilmere is 1679240972. It was assigned to this individual provider in the NPPES registry on August 24, 2021.

Where is Megan Gilmere located?

Megan Gilmere practices at 701 10th St SE, Cedar Rapids, IA 52403. The listed phone number is (319) 461-3533.

What is Megan Gilmere's specialty?

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

Is Megan Gilmere enrolled in Medicare?

Yes. Megan Gilmere 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 Megan Gilmere 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 2 other insurers list Megan Gilmere 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 Megan Gilmere affiliated with any hospitals?

According to CMS data, Megan Gilmere is affiliated with St Lukes Hospital and Mercy Medical Center - Cedar Rapids.

When was this NPI record last updated?

The NPPES record for Megan Gilmere was last updated on August 24, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.