KELLY NIEMAN ARNP
NPI 1720580277
Nurse Practitioner - Family in Clear Lake, IA

Active since March 01, 2018PECOS Enrolled
401 SOUTH 15TH STREET, CLEAR LAKE, IA 50428(641) 357-7442(641) 357-3070 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 8, 2023, Aug 3, 2020, Mar 1, 2018 (3 updates tracked since 2018).

About Kelly Nieman Arnp NPPES

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

KELLY NIEMAN ARNP (NPI 1720580277) is an individual family provider in Clear Lake, Iowa, licensed in Iowa (136011) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720580277
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY NIEMANCredential: ARNP
Location Address401 SOUTH 15TH STREETClear Lake, IA 50428
Mailing Address621 S Illinois Ave Suite 103Mason City, IA 50401-5489 · (641) 428-3041 · Fax (641) 428-3059
Fax(641) 357-3070
Sole ProprietorNo
Enumeration DateMarch 1, 2018
Last NPPES UpdateJuly 15, 20253 updates tracked since enumeration
NPPES CertifiedJuly 15, 2025
NPI 1720580277 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 · 136011
401 SOUTH 15TH STREET, Clear Lake, IA 50428

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 (PECOS)

Kelly Nieman Arnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50428 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.

Referred Medical Equipment & Supplies CMS DME claims

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$58.84 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720580277, enumerated as an "individual" on March 01, 2018.

The provider is located at 401 SOUTH 15TH STREET CLEAR LAKE, IA 50428 and the phone number is (641) 357-7442.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from NH. Please consult your insurance carrier or call the provider to verify.