Kelly Sue McMahon, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

7461-33 Issued in WI

Practice address

1075 Cedar Cross Rd Ste 1
Dubuque, IA 52003-7748

Phone

(563) 582-1000

Fax

(563) 582-1113

NPI assigned

Jan 23, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA, WI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Finley Hospital Hospital, Dubuque, IA, CCN 160117
• Midwest Medical Center Hospital, Galena, IL, CCN 141302
• Mercyone Dubuque Medical Center Hospital, Dubuque, IA, CCN 160069

Merit-based Incentive Payment System (MIPS)

Final score

91.05 of 100Reported as apm

Quality

72.1

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kmcmahon261768@direct-ehr-ssmhc.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Epic Health and Wellness PC

  • Primary Care Clinic/Center
  • Dubuque, IA
  • NPI 1164989174

  IA

  Medicare reassignment NPD Authorized official
• Southwest Health Center, Inc

  • Critical Access Hospital
  • Platteville, WI
  • NPI 1831279793

  WI

  Medicare reassignment NPD
• Southwest Health Center, Inc.

  • Optometrist
  • Lancaster, WI
  • NPI 1962974485
  NPD
• Dubuque Pain Clinic

  • Interventional Pain Medicine Physician
  • Dubuque, IA
  • NPI 1467863472
  NPD (past)
• Pines Healthcare for Women

  • Specialist
  • Dubuque, IA
  • NPI 1326009341
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Medical Center-Dubuque

  • General Acute Care Hospital
  • Dubuque, IA
  • NPI 1659348506

  Hospital

  Care Compare affiliation
• The Finley Hospital

  • General Acute Care Hospital
  • Dubuque, IA
  • NPI 1942392600

  Hospital

  Care Compare affiliation
• Midwest Medical Center

  • Clinic/Center
  • Elizabeth, IL
  • NPI 1295126944

  Hospital

  Care Compare affiliation
• Midwest Medical Center

  • Critical Access Hospital
  • Galena, IL
  • NPI 1952409765

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1013987189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 CEDAR CROSS RD STE 1",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520037748",
            "telephone_number": "563-582-1000",
            "fax_number": "563-582-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 CEDAR CROSS RD STE 1",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520037748",
            "telephone_number": "563-582-1000",
            "fax_number": "563-582-1113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Women's Wellness Center, PC",
            "address_2": "777 Mazzuchelli Place",
            "address_purpose": "LOCATION",
            "city": "Dubuque",
            "state": "IA",
            "postal_code": "52001",
            "country_code": "US",
            "telephone_number": "563-588-0011",
            "fax_number": "563-588-0595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "KELLY",
        "middle_name": "SUE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IA",
            "license": "087220",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "IA",
            "license": "087220",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "7461-33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0433433",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Daniel McKenna, M.D.
• Mark A McKeon, M.D.
• Staci Elaine McKeon, M.D.
• Salve Bual McLaughlin
• Hannah Grace McMahan, PA-C
• Rhonda McMahon
• Christina McNamara, DNP
• Joani Elizabeth McNamara, TLMHC
• Mariah McNamara
• Elise McPherson, DO

• All providers in Dubuque, IA
• Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.