DR. ANNETTE NICKEL (O.D.) – Optometrist, NPI 1053607093

DR. ANNETTE NICKEL (O.D.) is a healthcare provider. based in Iowa city, Iowa. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 002519 (IA). The NPI Number for DR. ANNETTE NICKEL (O.D.) is 1053607093

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANNETTE NICKEL (O.D.)
NPI
1053607093
Phone
(319) 337-4995
Address
16 S CLINTON ST
Enumeration Date
28 June 2011
Last Update Date
22 October 2013

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
3194660644
Graduation Year
2011 (15 years ago)
PAC ID
0941462931
Group Practice PAC ID
1759557085
Professional Enrollment ID
I20120509000332
Address ID
IA522411961CO2611XSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

503 OPTOMETRY in IA

Provider Addresses for DR. ANNETTE NICKEL (O.D.)

  • 16 S CLINTON ST

    IOWA CITY, IA 522403912

    Phone: (319) 337-4995

    Fax: (319) 337-5707

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $84.

Total Amount is formed as General ($84) + Research ($0) + Ownership ($0) = $84.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: CooperVision Inc. ($45).

Total Amount

$84

General + Research + Ownership

Payments

3

Total payment records

General Amount

$84

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-05-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120509000332IOptometryIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92250Photography of the retina123121$0
92014Established patient complete exam of visual system9392$0
92082Exam of visual field with intermediate testing6766$0
92004New patient complete exam of visual system2929$0
99213Established patient office or other outpatient visit, 20-29 minutes1813$0
View full utilization report →

Insurance plans in this area (ZIP 52240)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759557085View full group profile
NameSpecialtyState
O P T O M E T R YIA
O P T O M E T R YIA
O P T O M E T R YIA
O P T O M E T R YIA

Reviews

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Frequently asked questions

What is the registry number for DR. ANNETTE NICKEL (O.D.)?
The registry entry for DR. ANNETTE NICKEL (O.D.) shows NPI 1053607093.
Should I treat DR. ANNETTE NICKEL (O.D.) as an active provider?
Patients and plans typically see DR. ANNETTE NICKEL (O.D.) as active in the national extract.
How should patients interpret DR. ANNETTE NICKEL (O.D.)'s specialty?
The extract shows Optometrist for DR. ANNETTE NICKEL (O.D.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. ANNETTE NICKEL (O.D.)?
DR. ANNETTE NICKEL (O.D.) is associated with Iowa City, Iowa in the same public data insurers reference.
Can I export DR. ANNETTE NICKEL (O.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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