Nicole Chisum, NP
Individual provider Active NPI Family Nurse Practitioner · Ogden, IA
NPI 1497528491 · NPPES record last updated Dec 23, 2025
Key facts
- NPI
- 1497528491
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- A184261 (IA)
- Practice address
- 320 W Walnut Street
Ogden, IA 50212-3060 - Phone
- (515) 275-2417
- Fax
- (515) 275-4678
- NPI assigned
- Nov 1, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 10
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Texas Tech University Health Science Center School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Boone County Hospital
Madrid Family Practice Clinic
Practice addresses (Care Compare)
320 W Walnut St
Boone Co Family Med Ogden Clinic
Ogden, IA 50212-3060
Phone (515) 275-2417
623 W N St
Madrid, IA 50156-1023
Phone (515) 795-4300
Hospital & facility affiliations
- Boone County Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240206002014 | TX | Practitioner - Nurse Practitioner | 4385087402 | Reassigns benefits to 1 organization |
| I20250630002179 | IA | Practitioner - Nurse Practitioner | 4385087402 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A184261 | IA | MD | Family Nurse Practitioner |
| 1133002 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boone County Hospital | Current | Accepting new patients | |
| Madrid Family Practice Clinic | Family | Current |
Accepting new patients |
| Boone County Hospital | Current | Accepting new patients | |
| Christine Holland MD PA | Current |
Accepting new patients | |
| Boone County Hospital | Current |
Accepting new patients | |
| Boone County Family Medicine TR | Current |
Accepting new patients | |
| Mercy Clinics, Inc. | Past |
Accepting new patients |
Locations
1115 S Marshall St
Boone, IA 50036
Phone (515) 432-2335
1015 Union St
Boone, IA 50036
Phone (515) 432-3140
120 S Story St
Boone, IA 50036
Phone (515) 432-3460
623 W North St
Madrid, IA 50156
Phone (515) 433-8461
320 W Walnut St
Ogden, IA 50212
Phone (515) 275-2417
800 Medical Center Dr
Ste C
Decatur, TX 76234
Phone (940) 626-2110
800 Medical Center Dr
Decatur, TX 76234
Phone (940) 539-4963
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1133002 | TX | |
| Family Nurse Practitioner | 363LF0000X | A184261 | IA | Yes |
Addresses
Primary practice location
320 W Walnut Street
Ogden, IA 50212-3060
Mailing address
1015 Union Street
Boone, IA 50036-4821
Phone (515) 432-3140
Other providers in Ogden, IA
- All in Health and Wellness, LLC
- Angela Christner & Associates LLC
- Boone County Hospital
- Boone Rehabilitation Services P C
- Briles Christenson
- Helen Burk Clark
- Katie Joanne Eatock
- Brady Stuart France
- Functional Chiropractic PLLC
All providers in Ogden, IA · Family Nurse Practitioner in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.