Nicole Chisum, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A184261 Issued in IA

Practice address

320 W Walnut Street
Ogden, IA 50212-3060

Phone

(515) 275-2417

Fax

(515) 275-4678

NPI assigned

Nov 1, 2023

Last updated

Dec 23, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, IA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

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 HospitalGroup PAC ID 7416840335, 9 clinicians

Madrid Family Practice ClinicGroup PAC ID 6507850146, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Boone County Hospital Hospital, Boone, IA, CCN 161372

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Boone County Hospital

  • Critical Access Hospital
  • Boone, IA
  • NPI 1467434225
  Medicare reassignment Care Compare group NPD
• Madrid Family Practice Clinic

  • Family Nurse Practitioner
  • Madrid, IA
  • NPI 1508882705
  Medicare reassignment Care Compare group NPD
• Boone County Family Medicine TR

  • Family Medicine Physician
  • Boone, IA
  • NPI 1033154836
  Medicare reassignment NPD
• Christine Holland MD PA

  • Family Medicine Physician
  • Decatur, TX
  • NPI 1962677740
  Medicare reassignment NPD
• Boone County Hospital

  dba Boone County Hospital CRNA

  • Registered Nurse
  • Boone, IA
  • NPI 1619017282
  NPD
• Boone County Hospital

  dba Boone County Family Medicine North Walk In

  • Primary Care Clinic/Center
  • Boone, IA
  • NPI 1942664602
  NPD
• Mercy Clinics, Inc.

  dba MercyOne Des Moines OB Hospitalists

  • Obstetrics & Gynecology Physician
  • Des Moines, IA
  • NPI 1508741505
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Boone County Hospital

  • Critical Access Hospital
  • Boone, IA
  • NPI 1467434225
  Care Compare affiliation
• Boone County Hospital

  dba Boone County Family Medicine North Walk In

  • Primary Care Clinic/Center
  • Boone, IA
  • NPI 1942664602

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1497528491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 UNION STREET",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500364821",
            "telephone_number": "515-432-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W WALNUT STREET",
            "city": "OGDEN",
            "state": "IA",
            "postal_code": "502123060",
            "telephone_number": "515-275-2417",
            "fax_number": "515-275-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISUM",
        "first_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-01",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1133002",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A184261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• All in Health and Wellness, LLC (Walnut Street Health & Wellness)
• Angela Christner & Associates LLC (Walnut Street Health & Wellness)
• Boone County Hospital (Boone County Family Medicine Ogden Clinic)
• Boone Rehabilitation Services P C
• Briles Christenson, PA-C
• Helen Burk Clark, PT
• Katie Joanne Eatock, O.T.
• Brady Stuart France, D.D.S.
• Functional Chiropractic PLLC

• Family Nurse Practitioner in Ogden, IA
• Providers in Ogden, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.