Individual provider Active NPI

Kristine Lyn McVea, MD MPH

  • Internal Medicine Physician
  • Council Bluffs, IA
National Provider Identifier
1477591543
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5305 Issued in IA
Practice address
902 S 6TH St
Council Bluffs, IA 51501-6441
Phone
(712) 325-1990
NPI assigned
Jun 2, 2006
Last updated
Jul 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19808 NE
Pediatrics Physician 208000000X 19808 NE
Internal Medicine Physician 207R00000X 5305 IA Primary

Addresses

Primary practice location

902 S 6TH St
Council Bluffs, IA 51501-6441

Mailing address

902 S 6TH St
Council Bluffs, IA 51501-6441
Phone (712) 325-1990

Other identifiers 1

IdentifierTypeStateIssuer
47054899017MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080717000714 NE Practitioner - Pediatric MedicinePractitioner - Internal Medicine 7719050111 Reassigns benefits to 1 organization
I20240807004382 IA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 7719050111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Nebraska College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All Care Health CenterGroup PAC ID 0547241390, 19 clinicians

Practice addresses (Care Compare)

902 S 6TH St
Council Bluffs, IA 51501-6441
Phone (712) 325-1990

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5305IAMDInternal Medicine Physician
19808NEMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oneworld Community Health Centers, Inc. Current Accepting new patients
All Care Health Center CurrentSince Jul 26, 2024 Accepting new patients
All Care Health Center CurrentSince Jul 26, 2024 Accepting new patients
Alegent Health Bergan Mercy Health System Past Accepting new patients

Locations

902 S 6th St
Council Bluffs, IA 51501
Phone (712) 256-6583

902 S 6th St
Rm A
Council Bluffs, IA 51501

4920 S 30th St
Ste 103
Omaha, NE 68107

122 S 6th St
Plattsmouth, NE 68048
Phone (402) 296-2345

Interoperability endpoints

  • Direct secure messaging: kmcvea704667@direct.ochin.org
  • FHIR API: https://webprd.ochin.org/prd-fhir/allcarehealthcenter/api/FHIR/R4

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1477591543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 S 6TH ST",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515016441",
            "telephone_number": "712-325-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 S 6TH ST",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515016441",
            "telephone_number": "712-325-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCVEA",
        "first_name": "KRISTINE",
        "middle_name": "LYN",
        "credential": "MD MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "19808",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NE",
            "license": "19808",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "5305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47054899017",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

Verify at the official NPI Registry.