Registry data as of Aug 27, 2026

Vivian Chance, ARNP

Family Nurse Practitioner · Carroll, IA

Vivian Chance, ARNP is a family nurse practitioner with a practice address in Carroll, Iowa, and NPI 1396071015, issued on Oct 30, 2009. Check the license (Iowa A-078156, as entered in NPPES) with the Iowa board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, loaded Aug 27, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordas of Aug 27, 2026
1396071015
Name
Vivian Chance
Credential
ARNP
Primary taxonomy
Family Nurse Practitioner 363LF0000X
License number
A-078156 IA
Self-reported in NPPES; status is on the state search
Practice location
405 S Clark St, Carroll, IA 51401
Phone
(712) 792-4368
Enumerated
Oct 30, 2009
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 405 S Clark St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Jessica Borkowski, ARNP, FNP-CFamily Nurse Practitioner1679209845
  2. Karla Cheney, MDPediatrics Physician1407968704
  3. Mark Collison, M.D.Internal Medicine Physician1336256130
  4. Lou Kiessling, M.D.Ophthalmology Physician1457328528
  5. Nelson Lo, MDObstetrics & Gynecology Physician1073592291
  6. David Nystrom, D.O.Family Medicine Physician1356315311

Verify Vivian Chance in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Iowa board licenses this profession
    Search for license A-078156
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS, AOA, NCCPA, AANPNot checked
Find the Iowa license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

5.9 times the Medicare Part D claims of the average family nurse practitioner in 2024

7,658 Medicare Part D claims for 376 beneficiaries, against an average of 1,302 among the 128,048 providers of this specialty who prescribed in Part D. Brand-name drugs were 9% of claims. 362 claims were for opioids.

  1. Vivian Chance7,658
  2. Specialty average1,302

Most prescribed

  1. Levothyroxine Sodium365 claims
  2. Omeprazole291 claims
  3. Amlodipine Besylate248 claims
  4. Furosemide244 claims
  5. Lisinopril243 claims
  6. Potassium Chloride230 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's Medicare quality score for 2023: 87 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score85.7
  2. Costout of 100 · 30%
  3. Promoting interoperabilityout of 100 · 25%83.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

One hospital or facility affiliation

  1. Audubon County Memorial HospitalAudubon, IA · Critical Access Hospitals

Source: CMS Doctors and Clinicians affiliations; Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.

7 family nurse practitioner records list a Carroll practice address

They are 7 of the 228 NPPES records with a Carroll practice address, and 1,907 family nurse practitioner records in Iowa.

Other family nurse practitioner records in Iowa

  1. Lynne AbbottCedar Rapids, IA1699357277
  2. Amina AbdullahCedar Rapids, IA1598420747
  3. Brandon Abel, DNPIowa City, IA1043160674
  4. Rachel Ackerman, NPSheldon, IA1275124372
  5. Tonia Ackerman, ARNPPleasant Hill, IA1932142692
  6. Rachel Adams, NPDes Moines, IA1013662485
  7. Sherry Adams, ARNPCedar Rapids, IA1912971425
  8. Abdullahi Ahmed, AGPCNPDes Moines, IA1336924836
  9. Caitlyn Al-Ostaz, DNP FNP-CIowa City, IA1457188740
  10. Alaa Al-Talla, ARNPWaverly, IA1396592291

Common questions

What is Vivian Chance, ARNP's NPI number?

Vivian Chance, ARNP's National Provider Identifier (NPI) is 1396071015, issued on Oct 30, 2009. An NPI identifies a provider in billing; it is not a license.

Where is Vivian Chance, ARNP located?

The NPPES record lists a practice address at 405 S Clark St, Carroll, IA, 51401. Phone: (712) 792-4368. Providers update this record themselves, so call before visiting.

How can I verify Vivian Chance, ARNP's license?

NPPES lists Iowa license number A-078156, as entered by the provider. Search the Iowa board that licenses this profession; the NPPES record confirms identity only.

How much does Vivian Chance, ARNP prescribe under Medicare Part D?

In 2024, Vivian Chance, ARNP had 7,658 Medicare Part D claims for 376 beneficiaries; the average among family nurse practitioner prescribers was 1,302. Part D covers Medicare prescriptions only.

What is Vivian Chance, ARNP's Medicare quality score?

The 2023 MIPS final score is 87 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), loaded Aug 27, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 27, 2026.