NPPES file of Aug 9, 2026

Vivian Dianne Chance, ARNP

Family Nurse Practitioner · Carroll, IA

Vivian Dianne 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, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1396071015
Name
Vivian Dianne 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
Record last updated
Oct 30, 2009 (not updated in 17 years: call before relying on the address or phone)
Fax
(712) 792-2056
Medicare enrollment
Enrolled (PECOS I20100511000975); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. 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 Dianne 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.

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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 1,305 among the 140,557 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 average1,305

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 MIPS final score for 2023 (Medicare payment program): 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. Costnot scored (reweighted)
  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 affiliation

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

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov).

Vivian Dianne Chance among 1,971 family nurse practitioner records in Iowa

Vivian Dianne Chance, ARNP is one of 1,971 family nurse practitioner records with a practice address in Iowa. 84% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 13% of them.

  • NPI issued2009 · 13% of these records are older, 86% newer
  • In a Medicare fileYes · 84% of these records are
  • In the CMS Doctors and Clinicians fileYes · 71% of these records are
  • Graduated2009 · median 2018 among the 1,398 with a school on file
  • Record last updated2009 · 43% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LF0000X and a Iowa practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

7 family nurse practitioner records list a practice address in Carroll

They are 7 of the 228 NPPES records with a practice address in Carroll, and 1,971 family nurse practitioner records in Iowa.

The 8 family nurse practitioner records with the nearest ZIP codes

  1. Haylee Barsby, FNP-CCarroll, IA 514011205354875
  2. Jessica Borkowski, ARNP, FNP-CCarroll, IA 514011679209845
  3. Allysha Huddleson, ARNPCarroll, IA 514011508641820
  4. Brooke Scott, ARNPCarroll, IA 514011922990332
  5. Virginia Uhlenkamp, ARNPCarroll, IA 514011912188780
  6. Cara VoglCarroll, IA 514011710238027
  7. Abigail Behrens, NP-CDenison, IA 514421003315201
  8. Marsha Haar, FNP-CSpirit Lake, IA 513601871974717

Common questions

What is Vivian Dianne Chance, ARNP's NPI number?

Vivian Dianne 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 Dianne 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 Dianne 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 Dianne Chance, ARNP prescribe under Medicare Part D?

In 2024, Vivian Dianne Chance, ARNP had 7,658 Medicare Part D claims for 376 beneficiaries; the average among family nurse practitioner prescribers was 1,305. Part D covers Medicare prescriptions only.

What is Vivian Dianne Chance, ARNP's MIPS final 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), file of Aug 9, 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.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.