Nichole Twedt, PA
NPI 1619922465 · Physician Assistant · West Des Moines, IA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1619922465
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 001752 (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
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
557 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) |
|---|---|---|
| X-Ray of Knee, 3 Views73562 | 163 | $31 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 138 | $58 |
| Replacement of Knee Joint, Both Sides of Knee27447 | 132 | $156 |
| X-Ray of Hip, 2-3 Views73502 | 69 | $34 |
| Replacement of Thigh Bone and Hip Joint With Prosthesis27130 | 55 | $156 |
Typical Medicare-allowed amounts for these services range $31–$156 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 14 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tramadol Hcl | 378 | 220 |
| Mupirocin | 260 | 249 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 224 | 91 |
| Amoxicillin | 162 | 99 |
| Oxycodone Hcl | 112 | 47 |
| Meloxicam | 83 | 46 |
| Hydromorphone Hcl | 78 | 45 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$24 across 1 record (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
Additional practice locations (1)
- 1301 Pennsylvania Ave Ste 213Des Moines, IA 50316-2365Phone: (515) 224-1414Fax: (515) 224-5140
Registry dates
- Enumerated
- 2006-05-23
- Last updated
- 2022-12-29
- Certified
- 2022-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.