JENNA NICCOLLS
NPI 1871120469
Physician Assistant in Waterloo, IA

Q: What is Jenna Niccolls's NPI number?

The NPI number for Jenna Niccolls is 1871120469. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Q: What is Jenna Niccolls's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jenna Niccolls 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 10 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.

Active since March 24, 2020PECOS EnrolledAccepts Medicare Assignment

2515 CYCLONE DR STE B, WATERLOO, IA 50701(319) 888-8044(319) 349-8402 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Oct 19, 2020, Mar 24, 2020 (3 updates tracked since 2020).

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About Jenna Niccolls NPPES

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

JENNA NICCOLLS (NPI 1871120469) is an individual physician assistant in Waterloo, Iowa, licensed in Iowa (105061) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Mercyone Waterloo Medical Center, and maintains a secondary practice location in Cedar Falls.

NPPES Registry Identity

NPI1871120469

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJENNA NICCOLLS

Location Address2515 CYCLONE DR STE BWaterloo, IA 50701-9715

Mailing Address2515 Cyclone Dr Ste BWaterloo, IA 50701-9715 · (319) 888-8044 · Fax (319) 349-8402

Phone(319) 888-8044

Fax(319) 349-8402

Sole ProprietorNo

Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2020

Enumeration DateMarch 24, 2020

Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2025

✔ NPI 1871120469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IA · 105061

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Practice Location 1

Location 1515 College St Ste 2800Cedar Falls, IA 50613-2500 · Phone (319) 268-3990

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jenna Niccolls 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 ID6406274224

PECOS Enrollment IDI20200910002753

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.

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.

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.

88 services22 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercyone Waterloo Medical Center

Acute Care Hospitals · Waterloo, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number160067

Location3421 West Ninth StreetWaterloo, IA 50702 · Black Hawk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50701 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

$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.

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Other Providers at the Same Location NPPES 11

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

AMANDA MARIE KNUDSEN ARNP

Nurse Practitioner