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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KAYLA MARIE FOLSOM NP
NPI 1922772698
Nurse Practitioner in Sioux City, IA

Active since August 05, 2021PECOS EnrolledAccepts Medicare Assignment
801 5TH ST, SIOUX CITY, IA 51101(712) 279-2010(712) 294-7022 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 13, 2026, Apr 25, 2024, Aug 5, 2021 (3 updates tracked since 2021).

About Kayla Marie Folsom Np NPPES

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

KAYLA MARIE FOLSOM NP (NPI 1922772698) is an individual nurse practitioner in Sioux City, Iowa, licensed in Iowa (A164951) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with St Lukes Regional Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1922772698
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKAYLA MARIE FOLSOMCredential: NP
Location Address801 5TH STSioux City, IA 51101-1326
Mailing Address801 5th StSioux City, IA 51101-1326 · (712) 279-2010
Phone(712) 279-2010
Fax(712) 294-7022
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 5, 2021
Last NPPES UpdateOctober 13, 20263 updates tracked since enumeration
NPPES CertifiedOctober 13, 2026
✔ NPI 1922772698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IA · A164951
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.
801 5TH ST, Sioux City, IA 51101
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Oscar Insurance Company, Sanford Health Plan 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

Kayla Marie Folsom Np 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 ID9335545946
PECOS Enrollment IDI20210908000329
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 Reassignment

Medicare enrollment records show Kayla Folsom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northwest Iowa Hospital Corporation
1.6 mi
Emergency Medical Services
2720 STONE PARK BLVD
Sioux City, IA 51104
  • Reassigned Medicare billing, Iowa enrollment
  • 281 clinicians in this Medicare group
NPI 1215962550 (712) 279-3789

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 6

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 moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
301 services161 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.
68 services55 patients
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.
52 services45 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
36 services36 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
35 services35 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
18 services17 patients

Hospital Affiliations CMS Care Compare 4

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

St Lukes Regional Medical Center

Acute Care Hospitals · Sioux City, IA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160146
Location2720 Stone Park BoulevardSioux City, IA 51104 · Woodbury County
Emergency services Birthing friendly

Cherokee Regional Medical Center

Critical Access Hospitals · Cherokee, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161362
Location300 Sioux Valley DriveCherokee, IA 51012 · Cherokee County
Emergency services Birthing friendly

Floyd Valley Healthcare

Critical Access Hospitals · Le Mars, IA
OwnershipGovernment - Local
CMS Certification Number161368
Location714 Lincoln St NELe Mars, IA 51031 · Plymouth County
Emergency services Birthing friendly

The Nebraska Medical Center

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280013
Location987400 Nebraska Medical CenterOmaha, NE 68198 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51101 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 20

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

MS. KRISTI JO HANSEN P.A.
Physician Assistant
801 5TH ST
SIOUX CITY, IA 51101
Woodbury County (712) 279-2512
KIRSTEN MARIE NEDVED
Nurse Practitioner
801 5TH ST
SIOUX CITY, IA 51101
Woodbury County (712) 294-7020
NICOLE MARIE KASSING
Physical Therapy Assistant
801 5TH ST
SIOUX CITY, IA 51101
Woodbury County (712) 233-5129
MARK EDWARD DAVIS CNP
Nurse Practitioner
801 5TH ST
SIOUX CITY, IA 51101
Woodbury County (712) 279-2010
DR. BRETT C. BIEBER PHARM.D. (RPH)
Pharmacist
801 5TH ST, MERCY MEDICAL CENTER - MAIN PHARMACY
SIOUX CITY, IA 51101
Woodbury County (712) 279-5992
GINGER DAWN HAMILTON FNP
Nurse Practitioner
801 5TH ST
SIOUX CITY, IA 51101
Woodbury County (712) 279-2010
DEBORAH CARTER CRNA
Nurse Anesthetist, Certified Registered
801 5TH ST
SIOUX CITY, IA 51101
Woodbury County (712) 279-2505
DR. PETER JON ANDERSON M.D.
Internal Medicine
801 5TH ST
SIOUX CITY, IA 51101
Woodbury County (712) 279-2010

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 Kayla Folsom's NPI number?

The NPI number for Kayla Folsom is 1922772698. It was assigned to this individual provider in the NPPES registry on August 5, 2021.

Where is Kayla Folsom located?

Kayla Folsom practices at 801 5th St, Sioux City, IA 51101. The listed phone number is (712) 279-2010.

What is Kayla Folsom's specialty?

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

Is Kayla Folsom enrolled in Medicare?

Yes. Kayla Folsom 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 organization bills Medicare for Kayla Folsom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kayla Folsom reassigns Medicare benefits to Northwest Iowa Hospital Corporation (Sioux City, IA). The 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 Kayla Folsom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kayla Folsom accept?

Health plans from Avera Health Plans, Oscar Insurance Company, Sanford Health Plan and Wellmark Health Plan of Iowa, Inc. list Kayla Folsom 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 Kayla Folsom affiliated with any hospitals?

According to CMS data, Kayla Folsom is affiliated with St Lukes Regional Medical Center, Cherokee Regional Medical Center, Floyd Valley Healthcare and The Nebraska Medical Center.

When was this NPI record last updated?

The NPPES record for Kayla Folsom was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.