Abbey Modlin, ARNP
NPI 1295253557 · Nurse Practitioner · Des Moines, IA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Abbey Modlin, ARNP is a Nurse Practitioner provider in Des Moines, IA (NPI 1295253557).
Provider details
- NPI number
- 1295253557
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ARNP
- Sex
- Female
- Sole proprietor
- No
- License
- A130603 (IA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
8 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,468 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 746 | $76 |
| Continuous Monitoring of Blood Sugar Level in Tissue Fluid Using Sensor Under Skin With Interpretation and Report95251 | 428 | $27 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 219 | $13 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 38 | $74 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 21 | $104 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 72 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Semaglutidebrand: Ozempic | 797 | 133 |
| Empagliflozinbrand: Jardiance | 614 | 117 |
| Insulin Glargine,hum.rec.anlogbrand: Lantus Solostar | 396 | 100 |
| Metformin Hclbrand: Metformin Hcl Er | 388 | 104 |
| Metformin Hcl | 370 | 89 |
| Tirzepatidebrand: Mounjaro | 309 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$4,608 across 11 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-09-06
- Last updated
- 2019-02-20
Frequently asked questions
- What is Abbey Modlin's NPI number?
- Abbey Modlin's National Provider Identifier (NPI) is 1295253557, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Abbey Modlin's specialty?
- Abbey Modlin is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Abbey Modlin located?
- Abbey Modlin's practice location on file with NPPES is 411 Laurel St Ste 3262, Des Moines, IA 50314-3027.
- What is Abbey Modlin's phone number?
- The practice phone number listed in the NPPES registry for Abbey Modlin is (515) 643-5100.
- Does Abbey Modlin accept Medicare?
- Abbey Modlin is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Abbey Modlin's NPI active?
- Yes — Abbey Modlin's NPI (1295253557) is active in the NPPES registry as of the last update on 2019-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.