Sherry Lynn Kelchen , ARNP
Nurse Practitioner • Cascade, IA
805 Johnson St Sw
Cascade, IA 520338636
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on May 15, 2006; this date does not establish years in practice.
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Published CMS data list 2,173 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99213 — Established patient outpatient office visit: 473 service units.
- 36415 — Insertion of needle into vein for collection of blood sample: 302 service units.
- 80053 — Blood test, comprehensive group of blood chemicals: 238 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 29 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 6,266 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Potassium Chloride — 296 prescription fills, including refills.
- Omeprazole — 294 prescription fills, including refills.
- Simvastatin — 257 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 114 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 90% of clinicians listed under Nurse Practitioner in Iowa (2024, 671 clinicians with data). Median for this group: 338. Middle half: 121 to 805.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 2,542 in 2020 to 2,173 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
805 Johnson St Sw
Cascade, IA 520338636
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Medical Associates Clinic P C. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2001
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
227 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $77,495 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $59,817 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
11,511 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$321,469 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $16.94 in 2024
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2024.
Years since graduation
25 years (graduated 2001)
CMS Doctors and Clinicians data list 2001 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Sherry Kelchen has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Sherry Kelchen as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Cascade and Iowa
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 90% of clinicians listed under Nurse Practitioner in Iowa (2024, 671 clinicians with data). Median for this group: 338. Middle half: 121 to 805.
Too few clinicians listed under Nurse Practitioner in Cascade have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 85% of clinicians listed under Nurse Practitioner in Iowa (2024, 671 clinicians with data). Median for this group: $22,618. Middle half: $9,190 to $48,097.
Too few clinicians listed under Nurse Practitioner in Cascade have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 85% of clinicians listed under Nurse Practitioner in Iowa (2024, 671 clinicians with data). Median for this group: $16,808. Middle half: $6,606 to $35,763.
Too few clinicians listed under Nurse Practitioner in Cascade have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 90% of clinicians listed under Nurse Practitioner in Iowa (2024, 756 clinicians with data). Median for this group: 483. Middle half: 123 to 1,956.
Too few clinicians listed under Nurse Practitioner in Cascade have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 80% of clinicians listed under Nurse Practitioner in Iowa (2024, 756 clinicians with data). Median for this group: $24,605. Middle half: $1,324 to $225,033.
Too few clinicians listed under Nurse Practitioner in Cascade have Medicare Part D data for 2024 to compare.
1 active clinicians are listed under Nurse Practitioner with a practice address in Cascade, IA (1,294 in Iowa).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 15% from 2,542 in 2020 to 2,173 in 2024.
- 2020: 2,542
- 2021: 2,362
- 2022: 2,437
- 2023: 1,770
- 2024: 2,173
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Medicare-allowed amount
Medicare-allowed amount stayed about the same: $75,009 in 2020 and $77,495 in 2024.
- 2020: $75,009
- 2021: $76,147
- 2022: $77,555
- 2023: $68,286
- 2024: $77,495
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Paid by Medicare
Paid by Medicare stayed about the same: $58,818 in 2020 and $59,817 in 2024.
- 2020: $58,818
- 2021: $57,553
- 2022: $57,988
- 2023: $52,278
- 2024: $59,817
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 10% from 5,681 in 2020 to 6,266 in 2024.
- 2020: 5,681
- 2021: 5,829
- 2022: 5,896
- 2023: 5,980
- 2024: 6,266
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30-day fills
30-day fills stayed about the same: 10,789 in 2020 and 11,511 in 2024.
- 2020: 10,789
- 2021: 10,715
- 2022: 10,991
- 2023: 11,007
- 2024: 11,511
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Part D drug cost
Part D drug cost increased 47% from $219,093 in 2020 to $321,469 in 2024.
- 2020: $219,093
- 2021: $251,862
- 2022: $272,752
- 2023: $330,659
- 2024: $321,469
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $270.80 in 2021 to $16.94 in 2024.
- 2021: $270.80
- 2022: $14.32
- 2023: $36.29
- 2024: $16.94
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $16.94.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Inspire Medical Systems, Inc. |
Food and Beverage
In-kind items and services
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INSPIRE | General | $16.94 |
Source: CMS Open Payments, program year 2024, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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473 | 188 | $163.00 | $71.29 |
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36415
Insertion of needle into vein for collection of blood sample
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302 | 153 | $11.00 | $8.65 |
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80053
Blood test, comprehensive group of blood chemicals
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238 | 145 | $30.00 | $10.35 |
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J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
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180 | 11 | $5.25 | $0.97 |
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80061
Blood test, lipids (cholesterol and triglycerides)
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136 | 118 | $20.39 | $13.12 |
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G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
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118 | 118 | $140.00 | $101.60 |
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83036
Hemoglobin a1c level
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101 | 62 | $15.00 | $9.52 |
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90662
Influenza vaccine split virus, preservative free
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57 | 57 | $96.21 | $80.95 |
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G0008
Administration of influenza virus vaccine
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57 | 57 | $36.00 | $29.94 |
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84443
Blood test, thyroid stimulating hormone (tsh)
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52 | 32 | $26.00 | $16.46 |
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85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
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52 | 40 | $12.00 | $7.61 |
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G0103
Prostate cancer screening; prostate specific antigen test (psa)
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39 | 39 | $28.24 | $18.92 |
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84439
Thyroxine (thyroid chemical), free
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37 | 20 | $14.00 | $8.84 |
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99308
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more
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37 | 20 | $144.00 | $58.31 |
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99309
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
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37 | 13 | $187.00 | $84.52 |
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87804
Detection test by immunoassay with direct visual observation for influenza virus
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36 | 16 | $34.00 | $16.22 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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33 | 30 | $232.00 | $98.47 |
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93000
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
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20 | 20 | $57.00 | $11.10 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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20 | 17 | $100.00 | $44.18 |
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20610
Aspiration and/or injection of fluid from large joint
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19 | 11 | $222.08 | $55.28 |
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87811
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)
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18 | 16 | $48.00 | $40.55 |
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G0009
Administration of pneumococcal vaccine
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16 | 16 | $36.00 | $29.94 |
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81002
Urinalysis, manual test
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15 | 13 | $8.00 | $3.18 |
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81001
Manual urinalysis test with examination using microscope, automated
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14 | 11 | $10.00 | $3.11 |
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93005
Routine electrocardiogram (ecg) using at least 12 leads with tracing
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14 | 13 | $32.00 | $5.43 |
(top 25 shown)
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Potassium Chloride | Potassium Chloride | 296 | 13,751 | $6,374.73 | 56 |
| Omeprazole | Omeprazole | 294 | 21,377 | $2,513.92 | 76 |
| Simvastatin | Simvastatin | 257 | 18,502 | $1,817.35 | 55 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 219 | 19,082 | $1,359.46 | 64 |
| Losartan Potassium | Losartan Potassium | 211 | 15,157 | $1,777.34 | 53 |
| Levothyroxine Sodium | Levothyroxine Sodium | 209 | 11,793 | $2,146.07 | 36 |
| Lisinopril | Lisinopril | 205 | 15,714 | $1,101.43 | 52 |
| Furosemide | Furosemide | 197 | 9,236 | $1,338.94 | 43 |
| Eliquis | Apixaban | 193 | 5,383 | $99,638.54 | 20 |
| Amlodipine Besylate | Amlodipine Besylate | 160 | 11,566 | $919.61 | 43 |
| Atorvastatin Calcium | Atorvastatin Calcium | 143 | 10,380 | $1,270.98 | 38 |
| Memantine Hcl | Memantine Hcl | 123 | 3,573 | $5,137.77 | 12 |
| Gabapentin | Gabapentin | 119 | 4,293 | $1,603.67 | 24 |
| Metoprolol Tartrate | Metoprolol Tartrate | 116 | 7,413 | $633.30 | 25 |
| Hydrochlorothiazide | Hydrochlorothiazide | 116 | 10,380 | $307.89 | 34 |
| Mirtazapine | Mirtazapine | 116 | 4,159 | $3,074.80 | 24 |
| Metformin Hcl Er | Metformin Hcl | 112 | 9,481 | $910.01 | 33 |
| Xarelto | Rivaroxaban | 108 | 2,702 | $48,506.47 | — |
| Cephalexin | Cephalexin | 104 | 3,018 | $862.67 | 42 |
| Tramadol Hcl | Tramadol Hcl | 102 | 1,840 | $470.70 | 25 |
| Methylprednisolone | Methylprednisolone | 101 | 606 | $601.17 | 72 |
| Citalopram Hbr | Citalopram Hydrobromide | 100 | 6,696 | $565.42 | 21 |
| Sertraline Hcl | Sertraline Hcl | 99 | 5,418 | $761.36 | 18 |
| Pantoprazole Sodium | Pantoprazole Sodium | 98 | 6,231 | $1,126.42 | 24 |
| Allopurinol | Allopurinol | 94 | 7,528 | $697.63 | 24 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20060308000028
IA
6901813575
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Medical Associates Clinic P C
1000 Langworthy St, Dubuque, IA 520017313
Phone: 5635844100
Medical Associates Clinic P C
805 Johnson St Sw, Cascade, IA 520338636
Phone: 5638527756
Medical Associates Clinic P C
1500 Associates Dr, Dubuque, IA 520022201
Phone: 5635844100
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant - Medical
Physician Assistant (Certified)
Career & Practice History
NPI enumerated May 15, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Mailing Address
1500 Associates Dr
Dubuque, IA 520022201
Phone: 5635844100