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SANDRA R. SCHOLTEN APN
NPI 1790937308
Nurse Practitioner - Primary Care in Norwalk, IA

Active since October 14, 2008PECOS EnrolledAccepts Medicare Assignment
88.63/100
CMS Quality Rating
1300 TURNBERRY DR STE 4, NORWALK, IA 50211(515) 994-8255(515) 994-8217 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 11, 2026, Aug 6, 2026 (2 updates tracked since 2026).

About Sandra R. Scholten Apn NPPES

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

SANDRA R. SCHOLTEN APN (NPI 1790937308) is an individual primary care provider in Norwalk, Iowa, licensed in Iowa (A125139) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1790937308
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameSANDRA R. SCHOLTENCredential: APN
Location Address1300 TURNBERRY DR STE 4Norwalk, IA 50211-9789
Mailing Address1300 Turnberry Dr Ste 4Norwalk, IA 50211-9789 · (515) 994-8255 · Fax (515) 994-8217
Phone(515) 994-8255
Fax(515) 994-8217
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 14, 2008
Last NPPES UpdateAugust 11, 20262 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
✔ NPI 1790937308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in IA · A125139
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License G185897 (IA)
1300 TURNBERRY DR STE 4, Norwalk, IA 50211
Open in Google Maps ↗

Other Identifiers 2

OtherF0808055TN · Board Certification
OtherPMH06250073IA · Pmhnp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Sandra R. Scholten Apn 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 ID4880755784
PECOS Enrollment IDI20110817000844, I20260416001323, I20260803003464
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 Reassignments

4

Medicare enrollment records show Sandra Scholten reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Magnolia Connection
Same address
Mental Health (Including Community Mental Health Center)
1300 TURNBERRY DR STE 4
Norwalk, IA 50211
  • Reassigned Medicare billing, Iowa enrollment
  • 3 clinicians in this Medicare group
NPI 1982397949 (515) 994-8255
Broadlawns Medical Center
9.0 mi
General Acute Care Hospital
1801 HICKMAN RD
Des Moines, IA 50314
  • Reassigned Medicare billing, Iowa enrollment
  • 518 clinicians in this Medicare group
NPI 1467447508 (515) 282-2200
Psychiatry Of Texas PLLC
801 mi
Psychiatry
7877 WILLOW CHASE BLVD
Houston, TX 77070
  • Reassigned Medicare billing, Arizona, Iowa, Minnesota and Nebraska enrollments
  • 59 clinicians in this Medicare group
NPI 1013476027 (832) 869-4818
Psychplus Medical Associates, PLLC
801 mi
Family Medicine
7877 WILLOW CHASE BLVD
Houston, TX 77070
  • Reassigned Medicare billing, Arizona, Iowa and Nebraska enrollments
  • 59 clinicians in this Medicare group
NPI 1558118026 (832) 869-4818

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
41 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50211 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.

88.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.38
Promoting Interoperability100
Improvement Activities40
Cost67.07

Other Providers at the Same Location NPPES

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

MAGNOLIA CONNECTION
Clinic/Center (Mental Health (Including Community Mental Health Center))
1300 TURNBERRY DR STE 4
NORWALK, IA 50211
Warren County (515) 994-8255

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 Sandra Scholten's NPI number?

The NPI number for Sandra Scholten is 1790937308. It was assigned to this individual provider in the NPPES registry on October 14, 2008.

Where is Sandra Scholten located?

Sandra Scholten practices at 1300 Turnberry Dr Ste 4, Norwalk, IA 50211. The listed phone number is (515) 994-8255.

What is Sandra Scholten's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Sandra Scholten enrolled in Medicare?

Yes. Sandra Scholten 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 organizations bill Medicare for Sandra Scholten's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Scholten reassigns Medicare benefits to 4 organizations: Magnolia Connection (Norwalk, IA), Broadlawns Medical Center (Des Moines, IA), Psychiatry Of Texas PLLC (Houston, TX) and Psychplus Medical Associates, PLLC (Houston, TX). Each 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 Sandra Scholten's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandra Scholten accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Sandra Scholten 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 Sandra Scholten was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.