MRS. NICOLE MARIE BACCAM (ARNP) – Women's Health Nurse Practitioner, NPI 1154666527

MRS. NICOLE MARIE BACCAM (ARNP) is a healthcare provider. based in Cedar rapids, Iowa. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. F110857 (IA). The NPI Number for MRS. NICOLE MARIE BACCAM (ARNP) is 1154666527

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MRS. NICOLE MARIE BACCAM (ARNP)
NPI
1154666527
Phone
(319) 730-7321
Address
1201 3RD AVE SE
Enumeration Date
11 December 2012
Last Update Date
22 February 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3197307300
Graduation Year
2008 (18 years ago)
PAC ID
1355583089
Group Practice PAC ID
0648364828
Professional Enrollment ID
I20130809000121
Address ID
IA524034009CE1225XSEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

3,532 NURSE PRACTITIONER in IA

Provider Addresses for MRS. NICOLE MARIE BACCAM (ARNP)

  • 1201 3RD AVE SE

    LINN COMMUNITY CARE

    CEDAR RAPIDS, IA 524034009

    Phone: (319) 730-7321

    Fax: (319) 730-7366

    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 $48.

Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($29).

Total Amount

$48

General + Research + Ownership

Payments

3

Total payment records

General Amount

$48

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

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: 2013-08-09

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
I20130809000121INurse PractitionerIATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 52403)

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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: 0648364828View full group profile
NameSpecialtyState
Clinical Social WorkerTN
O B S T E T R I C S/ G Y N E C O L O G YIA
O B S T E T R I C S/ G Y N E C O L O G YIA
Physician AssistantVA
-IA
Family PracticeMN
-IA
-IA
O B S T E T R I C S/ G Y N E C O L O G YIA
Clinical Social WorkerMI

Reviews

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Frequently asked questions

How do payers reference MRS. NICOLE MARIE BACCAM (ARNP)?
For MRS. NICOLE MARIE BACCAM (ARNP), use NPI 1154666527 as the unique 10-digit identifier.
Is there an active status for MRS. NICOLE MARIE BACCAM (ARNP)?
For scheduling context, MRS. NICOLE MARIE BACCAM (ARNP) is shown as active in the registry.
What area of care is associated with MRS. NICOLE MARIE BACCAM (ARNP)?
MRS. NICOLE MARIE BACCAM (ARNP)'s record emphasizes Women's Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. NICOLE MARIE BACCAM (ARNP) associated with Cedar Rapids?
Public fields place MRS. NICOLE MARIE BACCAM (ARNP) around Cedar Rapids, Iowa. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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