Individual provider Active NPI

Tracey M McIntire, DO

  • Obstetrics & Gynecology Physician
  • Boone, IA
National Provider Identifier
1215909502
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DO03706 Issued in IA
Practice address
104 S Story St
Boone, IA 50036-4737
Phone
(844) 474-4321
Fax
(515) 432-2895
NPI assigned
Feb 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X DO03706 IA Primary
Obstetrics & Gynecology Physician 207V00000X 036113139 IL

Addresses

Primary practice location

104 S Story St
Boone, IA 50036-4737

Mailing address

1316 S Main St
Clarion, IA 50525-2019
Phone (515) 602-9833

Other practice location 1

1924 Superior St
Webster City, IA 50595-3146
Phone (844) 474-4321

Other practice location 2

403 1st St SE
Belmond, IA 50421-1201
Phone (444) 744-3218

Other practice location 3

1316 S Main St
Clarion, IA 50525-2019
Phone (844) 474-4321

Other practice location 4

401 S 17th St
Clear Lake, IA 50428-2304
Phone (515) 832-1200

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061003000248 IA Practitioner - Obstetrics/Gynecology 9335144948 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Midwestern University, Chicago College of Osteopathic Med, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Specialty Hospital- ClarionGroup PAC ID 3375451347, 94 clinicians

Practice addresses (Care Compare)

1316 S Main St
Clarion, IA 50525-2019
Phone (515) 532-2811

1900 Superior St
Webster City, IA 50595-3146
Phone (515) 297-9260

1924 Superior St
Webster City, IA 50595-3146
Phone (515) 832-3332

215 13TH Ave SW
Clarion Clinic
Clarion, IA 50525-2078
Phone (515) 532-2838

401 S 17TH St
Gabrielson Clinic for Women
Clear Lake, IA 50428-2304
Phone (641) 357-1800

Hospital & facility affiliations

  • Iowa Specialty Hospital - Clarion Hospital, Clarion, IA, CCN 161302
  • Boone County Hospital Hospital, Boone, IA, CCN 161372

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DO03706IAMDObstetrics & Gynecology Physician
036113139ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Belmond Community Hospital CurrentSince Nov 1, 2017 Accepting new patients
Belmond Community Hospital Current Accepting new patients
Iowa Specialty Hospital- Clarion Current Accepting new patients
Iowa Specialty Hospital- Clarion Past Accepting new patients
Iowa Specialty Hospital- Clarion Past Accepting new patients

Locations

403 1st St SE
Belmond, IA 50421
Phone (641) 444-3223

104 S Story St
Boone, IA 50036
Phone (515) 432-1642

1316 S Main St
Clarion, IA 50525
Phone (515) 532-2811

215 13th Ave SW
Clarion, IA 50525
Phone (515) 532-2836

401 S 17th St
Clear Lake, IA 50428
Phone (515) 832-1200

Interoperability endpoints

  • Direct secure messaging: tmcintire125273@uihcdirect.org

Organizations & group practices 6

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 3

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1215909502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 S MAIN ST",
            "city": "CLARION",
            "state": "IA",
            "postal_code": "505252019",
            "telephone_number": "515-602-9833",
            "fax_number": "319-343-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S STORY ST",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500364737",
            "telephone_number": "844-474-4321",
            "fax_number": "515-432-2895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1924 Superior St",
            "address_purpose": "LOCATION",
            "city": "Webster City",
            "state": "IA",
            "postal_code": "505953146",
            "country_code": "US",
            "telephone_number": "844-474-4321",
            "fax_number": "515-432-2895",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "403 1st St SE",
            "address_purpose": "LOCATION",
            "city": "Belmond",
            "state": "IA",
            "postal_code": "504211201",
            "country_code": "US",
            "telephone_number": "444-744-3218",
            "fax_number": "641-444-5554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1316 S Main St",
            "address_purpose": "LOCATION",
            "city": "Clarion",
            "state": "IA",
            "postal_code": "505252019",
            "country_code": "US",
            "telephone_number": "844-474-4321",
            "fax_number": "515-532-3119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 S 17th St",
            "address_purpose": "LOCATION",
            "city": "Clear Lake",
            "state": "IA",
            "postal_code": "504282304",
            "country_code": "US",
            "telephone_number": "515-832-1200",
            "fax_number": "515-832-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCINTIRE",
        "first_name": "TRACEY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": "DO03706",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036113139",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, IA

Sources for this page

Verify at the official NPI Registry.