Individual provider Active NPI

McKenzie D Woodyard, ARNP

  • Nurse Practitioner
  • Des Moines, IA
National Provider Identifier
1104590686
Registry record updated Nov 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
G164206 Issued in IA
Practice address
500 Locust St
Des Moines, IA 50309-4104
Phone
(515) 805-0956
Fax
(515) 335-2298
NPI assigned
Aug 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X G164206 IA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G164206 IA

Addresses

Primary practice location

500 Locust St
Des Moines, IA 50309-4104

Mailing address

PO Box 672
Ankeny, IA 50021-0672
Phone (515) 805-0956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210920000366 IA Practitioner - Nurse Practitioner 5294132254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Flowstate Health LLCGroup PAC ID 1254718398, 14 clinicians

Practice addresses (Care Compare)

500 Locust St
Des Moines, IA 50309-4104
Phone (515) 805-0956

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.02 of 100Reported as group
Quality
75.68
Promoting interoperability
78
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G164206IAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Flowstate Health LLC Psychiatric/Mental Health CurrentSince Sep 23, 2024 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

500 Locust St
Des Moines, IA 50309
Phone (515) 523-5550

Interoperability endpoints

  • Direct secure messaging: mwoodyard127661@uihcdirect.org
  • Direct secure messaging: mwoodyard1173850@direct.unitypoint.org

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732752000000",
    "number": "1104590686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 672",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500210672",
            "telephone_number": "515-805-0956",
            "fax_number": "515-335-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LOCUST ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503094104",
            "telephone_number": "515-805-0956",
            "fax_number": "515-335-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODYARD",
        "first_name": "MCKENZIE",
        "middle_name": "D",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-06",
        "last_updated": "2024-11-28",
        "certification_date": "2024-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "G164206",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G164206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.