Individual provider Active NPI

Tamara Jo Mechaelsen, PT

  • Physical Therapist
  • Webster City, IA
National Provider Identifier
1194782102
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
01489 Issued in IA
Practice address
510 Bank St
Webster City, IA 50595-2204
Phone
(515) 832-8484
Fax
(515) 832-5401
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 01489 IA Primary

Addresses

Primary practice location

510 Bank St
Webster City, IA 50595-2204

Mailing address

600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-1980

Other practice location 1

800 Ohio St
Webster City, IA 50595
Phone (515) 832-7735

Other practice location 2

600 Oakmont Ln Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-1980

Other names 1

  • Tamara Jo Groen Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tmechaelsen100466@directmcfarlandclinic.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200909003289 IA Practitioner - Physical Therapist in Private Practice 8224456173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Minnesota Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McFarland Clinic PCGroup PAC ID 1254244239, 353 clinicians

Practice addresses (Care Compare)

510 Bank St
Webster City, IA 50595-2204
Phone (515) 832-6700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
McFarland Clinic PC CurrentSince Sep 7, 2020 Accepting new patients

Locations

1215 Duff Ave
Ames, IA 50010
Phone (515) 239-4400

510 Bank St
Webster City, IA 50595
Phone (515) 832-6700

Interoperability endpoints

  • Direct secure messaging: tmechaelsen100466@directmcfarlandclinic.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1194782102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OAKMONT LN STE 600C",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595548",
            "telephone_number": "630-575-1980",
            "fax_number": "630-928-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 BANK ST",
            "city": "WEBSTER CITY",
            "state": "IA",
            "postal_code": "505952204",
            "telephone_number": "515-832-8484",
            "fax_number": "515-832-5401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Ohio St",
            "address_purpose": "LOCATION",
            "city": "Webster City",
            "state": "IA",
            "postal_code": "50595",
            "country_code": "US",
            "telephone_number": "515-832-7735",
            "fax_number": "515-832-9402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Oakmont Ln Ste 600C",
            "address_purpose": "LOCATION",
            "city": "Westmont",
            "state": "IL",
            "postal_code": "605595548",
            "country_code": "US",
            "telephone_number": "630-575-1980",
            "fax_number": "630-928-5080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MECHAELSEN",
        "first_name": "TAMARA",
        "middle_name": "JO",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "01489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmechaelsen100466@directmcfarlandclinic.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "510 Bank St",
            "city": "Webster City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "505952204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "GROEN",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Webster City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.