NICOLLE L MEDINA (ARNP) – Family Nurse Practitioner, NPI 1528150661
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,529 NURSE PRACTITIONER in IA
Provider Addresses for NICOLLE L MEDINA (ARNP)
50 N EISENHOWER AVE
MASON CITY, IA 504017340
Phone: (641) 423-5479
Fax: (641) 423-6102
Type: Mailing
404, North Federal Avenue, Southbridge Mall, Mason City, Cerro Gordo County, Iowa, 50401, United States
MASON CITY, IA 504013214
Phone: (641) 450-0601
Fax: (641) 450-0612
Type: Mailing
1817 1ST AVE E
NEWTON, IA 502084052
Phone: (641) 458-3055
Fax: (641) 357-2857
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $246.
Total Amount is formed as General ($246) + Research ($0) + Ownership ($0) = $246.
Last reported payment date: 2023-09-26 • Largest payer in this snapshot: Corium, LLC ($73).
Total Amount
$246
General + Research + Ownership
Payments
14
Total payment records
General Amount
$246
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Corium, LLC | $73 |
| Lundbeck LLC | $58 |
| Janssen Pharmaceuticals, Inc | $53 |
| Ironshore Pharmaceuticals Inc. | $40 |
| IDORSIA PHARMACEUTICALS US INC | $21 |
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: 2005-11-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051108000047 | I | Nurse Practitioner | IA | TBD |
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.
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 50401)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | IA | 81002 | Urinalysis, manual test | 32 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | IA | |
| Marriage And Family Therapist | IA | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IA |
Reviews
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