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VICTORIA A LIFE
NPI 1679258230
Nurse Practitioner - Pediatrics in Cedar Rapids, IA

Active since June 20, 2023PECOS Enrolled
150 11TH STREET NE, CEDAR RAPIDS, IA 52402(319) 369-7211 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Victoria A Life NPPES

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

VICTORIA A LIFE (NPI 1679258230) is an individual pediatrics provider in Cedar Rapids, Iowa, licensed in Iowa (146305) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679258230
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameVICTORIA A LIFE
Location Address150 11TH STREET NECedar Rapids, IA 52402
Mailing Address150 11th Street NeCedar Rapids, IA 52402 · (319) 369-7211
Phone(319) 369-7211
Sole ProprietorNo
Enumeration DateJune 20, 2023
Last NPPES UpdateJuly 29, 2025
NPPES CertifiedJuly 22, 2025
✔ NPI 1679258230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in IA · 146305
150 11TH STREET NE, Cedar Rapids, IA 52402
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victoria A Life is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Victoria Life reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St. Luke's Methodist Hospital
0.1 mi
Cardiovascular Disease
1026 A AVE NE, SUITE 5000
Cedar Rapids, IA 52402
  • Reassigned Medicare billing, Iowa enrollment
  • Medicare enrollment name: St Lukes Methodist Hospital
  • 166 clinicians in this Medicare group
NPI 1184737876 (319) 368-5757

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52402 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.

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 Victoria Life's NPI number?

The NPI number for Victoria Life is 1679258230. It was assigned to this individual provider in the NPPES registry on June 20, 2023.

Where is Victoria Life located?

Victoria Life practices at 150 11th Street NE, Cedar Rapids, IA 52402. The listed phone number is (319) 369-7211.

What is Victoria Life's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Victoria Life enrolled in Medicare?

Yes. Victoria Life is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Victoria Life's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Victoria Life reassigns Medicare benefits to St. Luke's Methodist Hospital (Cedar Rapids, 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 Victoria Life's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Victoria Life accept?

Health plans from Wellmark Health Plan of Iowa, Inc. list Victoria Life 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 Victoria Life was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.