1. Home
  2. Directory
  3. Iowa
  4. Waterloo
  5. Obstetrics Gynecology
  6. NPI Profile

DR. KARLA NYREEN SOLHEIM M.D.
NPI 1831484906
Obstetrics & Gynecology in Waterloo, IA

Active since June 16, 2011PECOS EnrolledAccepts Medicare Assignment
905 FRANKLIN ST, WATERLOO, IA 50703(319) 874-3275(319) 874-3421 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Karla Nyreen Solheim M.d. NPPES

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

DR. KARLA NYREEN SOLHEIM M.D. (NPI 1831484906) is an individual obstetrics & gynecology provider in Waterloo, Iowa, licensed in Iowa (R-9283) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (2011).

NPPES Registry Identity

NPI1831484906
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. KARLA NYREEN SOLHEIMCredential: M.D.
Location Address905 FRANKLIN STWaterloo, IA 50703-4407
Mailing Address905 Franklin StWaterloo, IA 50703-4407 · (319) 874-3275 · Fax (319) 874-3421
Phone(319) 874-3275
Fax(319) 874-3421
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2011
Enumeration DateJune 16, 2011
Last NPPES UpdateSeptember 11, 2025
NPPES CertifiedSeptember 11, 2025
✔ NPI 1831484906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IA · R-9283
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company, 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 and accepts Medicare assignment

Dr. Karla Nyreen Solheim M.d. 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 ID9739328816
PECOS Enrollment IDI20150727001127
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

5

Medicare enrollment records show Karla Solheim reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allen Memorial Hospital Corporation
Emergency Medicine
1825 LOGAN AVE
Waterloo, IA 50703
  • Reassigned Medicare billing, Iowa enrollment
  • 273 clinicians in this Medicare group
NPI 1346292521 (319) 235-3941
Iowa Physicians Clinic Medical Foundation
Rural Health
307 E MAIN ST
Anthon, IA 51004
  • Reassigned Medicare billing, Iowa enrollment
  • 1,506 clinicians in this Medicare group
NPI 1053203927 (712) 373-5711
Peoples Community Health Clinic, Inc.
Federally Qualified Health Center (FQHC)
905 FRANKLIN ST
Waterloo, IA 50703
  • Reassigned Medicare billing, Iowa enrollment
  • 46 clinicians in this Medicare group
NPI 1093703639 (319) 272-4300
Unitypoint Health - Marshalltown
Emergency Medicine
55 UNITYPOINT WAY
Marshalltown, IA 50158
  • Reassigned Medicare billing, Iowa enrollment
  • 214 clinicians in this Medicare group
NPI 1164957593 (641) 754-5145
Waverly Health Center
Critical Access
312 9TH ST SW
Waverly, IA 50677
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1033125463 (Iowa)
  • 66 clinicians in this Medicare group
NPI 1447299953 (319) 352-4120

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 2

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.

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.
30 services24 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.
21 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50703 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
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 20

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

DIANNA KAY MAGGINETTI ARNP
Nurse Practitioner (Psychiatric/Mental Health)
905 FRANKLIN ST
WATERLOO, IA 50703
Black Hawk County (319) 874-3000
RAJANI UPPALA MD
Pediatrics
905 FRANKLIN ST
WATERLOO, IA 50703
Black Hawk County (319) 272-4300
STEPHANIE CHAMBERLIN RDH
Dental Hygienist
905 FRANKLIN ST
WATERLOO, IA 50703
Black Hawk County (319) 272-4300
SEJLA CEJVANOVIC ARNP
Family Medicine
905 FRANKLIN ST
WATERLOO, IA 50703
Black Hawk County (319) 874-3000
JIM HOEFT
Counselor (Addiction (Substance Use Disorder))
905 FRANKLIN ST
WATERLOO, IA 50703
Black Hawk County (319) 272-4300
TERESA BORING
Dietitian, Registered
905 FRANKLIN ST
WATERLOO, IA 50703
Black Hawk County (319) 272-4300
MERRY OELMANN ARNP
Nurse Practitioner
905 FRANKLIN ST
WATERLOO, IA 50703
Black Hawk County (319) 272-4300
AMY RUEBER PHARMD
Pharmacist
905 FRANKLIN ST
WATERLOO, IA 50703
Black Hawk County (319) 272-4300

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 Karla Solheim's NPI number?

The NPI number for Karla Solheim is 1831484906. It was assigned to this individual provider in the NPPES registry on June 16, 2011.

Where is Karla Solheim located?

Karla Solheim practices at 905 Franklin St, Waterloo, IA 50703. The listed phone number is (319) 874-3275.

What is Karla Solheim's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Karla Solheim enrolled in Medicare?

Yes. Karla Solheim 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 Karla Solheim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karla Solheim reassigns Medicare benefits to 5 organizations: Allen Memorial Hospital Corporation (Waterloo, IA), Iowa Physicians Clinic Medical Foundation (Anthon, IA), Peoples Community Health Clinic, Inc. (Waterloo, IA), Unitypoint Health - Marshalltown (Marshalltown, IA) and Waverly Health Center (Waverly, IA). 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 Karla Solheim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karla Solheim accept?

Health plans from Medica, Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Karla Solheim 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 Karla Solheim was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.