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MRS. SHEILA MARIE DUARTE D.D.S.
NPI 1972678696
Dentist - General Practice in Onawa, IA

Active since November 21, 2006PECOS Enrolled
909 IOWA AVE, ONAWA, IA 51040(712) 433-3937(712) 433-1493 Get Directions Write a Review

NPPES record last updated: March 30, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Sheila Marie Duarte D.d.s. NPPES

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

MRS. SHEILA MARIE DUARTE D.D.S. (NPI 1972678696) is an individual general practice provider in Onawa, Iowa, licensed in Iowa (07748) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972678696
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameMRS. SHEILA MARIE DUARTECredential: D.D.S.
Location Address909 IOWA AVEOnawa, IA 51040-1631
Mailing Address909 Iowa Ave, Po Box 28Onawa, IA 51040-1631 · (712) 433-3937 · Fax (712) 433-1493
Phone(712) 433-3937
Fax(712) 433-1493
Sole ProprietorNo
Enumeration DateNovember 21, 2006
Last NPPES UpdateMarch 30, 2015
✔ NPI 1972678696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IA · 07748
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
909 IOWA AVE, Onawa, IA 51040
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Other Names 1

Professional Name (2)Mrs. Sheila Marie Duarte D.d.s.

Other Identifiers 3

Other51891IA · Wellmark
Medicaid1116020IA
Other1305152IA · United Concordia

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Sheila Marie Duarte D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51040 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.

Other Providers at the Same Location NPPES 3

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

MRS. SONI RAE GELINNE D.D.S.
Dentist (General Practice)
909 IOWA AVE
ONAWA, IA 51040
Monona County (712) 433-3937
DUARTE & GELINNE, D.D.S., P.C.
Dentist (General Practice)
909 IOWA AVE
ONAWA, IA 51040
Monona County (712) 433-3937
FAMILY FIRST DENTAL ASSOCIATES OF PRIMGHAR, P.C.
Dentist (General Practice)
909 IOWA AVE
ONAWA, IA 51040
Monona County (712) 433-3937

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 Sheila Duarte's NPI number?

The NPI number for Sheila Duarte is 1972678696. It was assigned to this individual provider in the NPPES registry on November 21, 2006. The provider is also known as Mrs. Sheila Marie Duarte D.D.S..

Where is Sheila Duarte located?

Sheila Duarte practices at 909 Iowa Ave, Onawa, IA 51040. The listed phone number is (712) 433-3937.

What is Sheila Duarte's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Sheila Duarte enrolled in Medicare?

Yes. Sheila Duarte is registered in the Medicare PECOS enrollment system.

What insurance does Sheila Duarte accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Iowa list Sheila Duarte 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 Sheila Duarte was last updated on March 30, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.