NICOLE MARIE GENSICKE – Vascular Surgery Physician, NPI 1750942595

NICOLE MARIE GENSICKE is a healthcare provider. based in Iowa city, Iowa. specializing in VASCULAR SURGERY. They hold a License No. R-11698 (IA). The NPI Number for NICOLE MARIE GENSICKE is 1750942595

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE MARIE GENSICKE
NPI
1750942595
Phone
(319) 356-2902
Address
200 HAWKINS DR DEPT OF
Enumeration Date
24 June 2019
Last Update Date
12 August 2024

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
5637425300
Graduation Year
2019 (7 years ago)
PAC ID
2567798440
Group Practice PAC ID
8729992318
Professional Enrollment ID
I20240822000496
Address ID
IA527221644BE4480XRDXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

45 VASCULAR SURGERY in IA

Provider Addresses for NICOLE MARIE GENSICKE

  • 200 HAWKINS DR DEPT OF

    IOWA CITY, IA 522421009

    Phone: (319) 356-2902

    Type: Mailing

  • 202 10TH ST SE

    CEDAR RAPIDS, IA 524032414

    Phone: (712) 249-2461

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $2,582.

Total Amount is formed as General ($2,582) + Research ($0) + Ownership ($0) = $2,582.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($949).

Total Amount

$2,582

General + Research + Ownership

Payments

28

Total payment records

General Amount

$2,582

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

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: 2024-08-22

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
I20240822000496IVascular SurgeryIATBD

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 52242)

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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: 8729992318View full group profile

Reviews

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Frequently asked questions

What is the registry number for NICOLE MARIE GENSICKE?
The registry entry for NICOLE MARIE GENSICKE shows NPI 1750942595.
Should I treat NICOLE MARIE GENSICKE as an active provider?
Patients and plans typically see NICOLE MARIE GENSICKE as active in the national extract.
What does the directory say NICOLE MARIE GENSICKE does?
Insurance directories may phrase it differently, but here NICOLE MARIE GENSICKE maps to Vascular Surgery Physician. Clinical services aligned with this taxonomy classification.
Can patients visit NICOLE MARIE GENSICKE in Iowa City, Iowa?
For routing, start with Iowa City, Iowa for NICOLE MARIE GENSICKE, then verify phone and hours locally.
Who maintains NICOLE MARIE GENSICKE's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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