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JOHANNA HESSELTINE PMHNP
NPI 1730841404
Nurse Practitioner - Psychiatric/Mental Health in Clive, IA

Active since October 11, 2021Opted out of Medicare · through Apr 8, 2028
9550 HICKMAN RD STE 101, CLIVE, IA 50325(515) 758-8300(515) 758-8600 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 16, 2025, Nov 29, 2021, Nov 17, 2021 and 1 more (4 updates tracked since 2021).

About Johanna Hesseltine Pmhnp NPPES

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

JOHANNA HESSELTINE PMHNP (NPI 1730841404) is an individual psychiatric/mental health provider in Clive, Iowa, licensed in Iowa (G166037) and active in the NPI registry since October 2021. She has opted out of Medicare through April 8, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1730841404
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJOHANNA HESSELTINECredential: PMHNP
Location Address9550 HICKMAN RD STE 101Clive, IA 50325-5314
Mailing Address9550 Hickman Rd Ste 101Clive, IA 50325-5314 · (515) 758-8300 · Fax (515) 758-8600
Phone(515) 758-8300
Fax(515) 758-8600
Sole ProprietorNo
Enumeration DateOctober 11, 2021
Last NPPES UpdateDecember 16, 20254 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
✔ NPI 1730841404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IA · G166037
9550 HICKMAN RD STE 101, Clive, IA 50325
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Johanna Hesseltine Pmhnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 8, 2022 through April 8, 2028.

Opt-Out Effective DateApril 8, 2022
Opt-Out In Effect ThroughApril 8, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50325 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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. COREY R WEAVER ARNP
Nurse Practitioner (Psychiatric/Mental Health)
9550 HICKMAN RD STE 101
CLIVE, IA 50325
Polk County (515) 758-8300
INTEGRATED PSYCHIATRY PLLC
Psychiatry & Neurology (Psychiatry)
9550 HICKMAN RD STE 101
CLIVE, IA 50325
Polk County (515) 758-8300

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 Johanna Hesseltine's NPI number?

The NPI number for Johanna Hesseltine is 1730841404. It was assigned to this individual provider in the NPPES registry on October 11, 2021.

Where is Johanna Hesseltine located?

Johanna Hesseltine practices at 9550 Hickman Rd Ste 101, Clive, IA 50325. The listed phone number is (515) 758-8300.

What is Johanna Hesseltine's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Johanna Hesseltine enrolled in Medicare?

No. Johanna Hesseltine has opted out of Medicare through April 8, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Johanna Hesseltine accept?

Health plans from HealthPartners, Medica, Oscar Insurance Company and UnitedHealthcare list Johanna Hesseltine 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 Johanna Hesseltine was last updated on December 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.