Angela J McGregor, DNP
Individual provider Active NPI Nurse Practitioner · Keokuk, IA
NPI 1366474132 · NPPES record last updated Feb 26, 2016
Key facts
- NPI
- 1366474132
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- A102599 (IA)
- Practice address
- 1603 Morgan St
Keokuk, IA 52632-3430 - Phone
- (319) 524-6274
- NPI assigned
- Jul 6, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Richmond Center
Practice addresses (Care Compare)
211 Ave M W
Fort Dodge, IA 50501-5789
Phone (515) 576-7261
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040928000023 | IA | Practitioner - Nurse Practitioner | 0244209278 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A102599 | IA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community and Family Resources | Current |
Accepting new patients | |
| The Richmond Center | Current |
Accepting new patients | |
| Community Health Center of Fort Dodge, Inc. | Current |
Accepting new patients | |
| Boone County Hospital | Past | Accepting new patients |
Locations
1619 S High Ave
Ames, IA 50010
Phone (515) 232-3206
1332 S Marshall St
Boone, IA 50036
Phone (515) 433-0316
126 N 10th St
Fort Dodge, IA 50501
Phone (515) 576-6500
211 Avenue M W
Fort Dodge, IA 50501
Phone (515) 576-7261
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A102599 | IA | Yes |
Addresses
Primary practice location
1603 Morgan St
Keokuk, IA 52632-3430
Mailing address
1603 Morgan St
Keokuk, IA 52632-3430
Phone (319) 524-6274
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37300 | Other | IA | WELLMARK |
Other providers in Keokuk, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.