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KRISTA R BEGALSKE ARNP
NPI 1881128783
Nurse Practitioner in Sumner, IA

Active since April 18, 2017PECOS EnrolledAccepts Medicare Assignment
909 W 1ST STREET, SUMNER, IA 50674(563) 578-3275(563) 578-2146 Get Directions Write a Review

NPPES record last updated: July 23, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 23, 2020, May 1, 2019, Apr 18, 2017 (3 updates tracked since 2017).

About Krista R Begalske Arnp NPPES

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

KRISTA R BEGALSKE ARNP (NPI 1881128783) is an individual nurse practitioner in Sumner, Iowa, licensed in Iowa (A134307) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Allen Hospital, and maintains a secondary practice location in West Union.

NPPES Registry Identity

NPI1881128783
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKRISTA R BEGALSKECredential: ARNP
Location Address909 W 1ST STREETSumner, IA 50674
Mailing AddressPo Box 148Sumner, IA 50674 · (563) 578-3275 · Fax (563) 578-2146
Phone(563) 578-3275
Fax(563) 578-2146
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 18, 2017
Last NPPES UpdateJuly 23, 20203 updates tracked since enumeration
NPPES CertifiedJuly 23, 2020
✔ NPI 1881128783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IA · A134307
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License A134307 (IA)
909 W 1ST STREET, Sumner, IA 50674
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Secondary Practice Location 1

Location 1110 Jefferson StWest Union, IA 52175-1022 · Phone (563) 422-3817

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health 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

Krista R Begalske Arnp 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 ID7214204338
PECOS Enrollment IDI20170522000247
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

3

Medicare enrollment records show Krista Begalske reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sumner Community Club
Same address
Family Medicine
909 W 1ST ST
Sumner, IA 50674
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1366442295 (Iowa), NPI 1780684548 (Iowa)
  • 41 clinicians in this Medicare group
NPI 1801818661 (563) 578-5375
Palmer Lutheran Health Center, Inc.
16 mi
Critical Access
112 JEFFERSON STREET
West Union, IA 52175
  • Reassigned Medicare billing, Iowa enrollment
  • 155 clinicians in this Medicare group
NPI 1891744108 (563) 422-3811
Pathways Behavioral Services Inc
22 mi
Community/Behavioral Health
111 10TH ST SW
Waverly, IA 50677
  • Reassigned Medicare billing, Iowa enrollment
  • 23 clinicians in this Medicare group
NPI 1114950979 (319) 352-2064

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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
36 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Allen Hospital

Acute Care Hospitals · Waterloo, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160110
Location1825 Logan AvenueWaterloo, IA 50703 · Black Hawk County
Emergency services Birthing friendly

Gundersen Palmer Lutheran Hospital And Clinics

Critical Access Hospitals · West Union, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161316
Location112 Jefferson StreetWest Union, IA 52175 · Fayette County
Emergency services

Community Memorial Hospital Medical Center

Critical Access Hospitals · Sumner, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161320
Location909 West First StreetSumner, IA 50674 · Bremer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50674 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 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers15 claims30 services$6.57 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers11 claims11 services$98.66 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers15 claims85 services$2.68 avg. paid by Medicare
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4036
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims362 services$5.47 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims3,439 services$0.44 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers12 claims12 services$49.98 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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Krista Begalske's NPI number?

The NPI number for Krista Begalske is 1881128783. It was assigned to this individual provider in the NPPES registry on April 18, 2017.

Where is Krista Begalske located?

Krista Begalske practices at 909 W 1st Street, Sumner, IA 50674. The listed phone number is (563) 578-3275.

What is Krista Begalske's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Krista Begalske enrolled in Medicare?

Yes. Krista Begalske 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 Krista Begalske's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krista Begalske reassigns Medicare benefits to 3 organizations: Sumner Community Club (Sumner, IA), Palmer Lutheran Health Center, Inc. (West Union, IA) and Pathways Behavioral Services Inc (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 Krista Begalske's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Krista Begalske accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Health and 4 other insurers list Krista Begalske 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.

Is Krista Begalske affiliated with any hospitals?

According to CMS data, Krista Begalske is affiliated with Allen Hospital, Gundersen Palmer Lutheran Hospital And Clinics and Community Memorial Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Krista Begalske was last updated on July 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.