Marcy Ann Fadness, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

000914 Issued in IA

Practice address

911 S Mill St
Decorah, IA 52101-2023

Phone

(563) 382-1200

Fax

(563) 382-1211

NPI assigned

Aug 1, 2006

Last updated

Apr 7, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mfadness78491@direct.gundersenhealth.org

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.

• Family Care Clinic PC

  • Family Medicine Physician
  • Decorah, IA
  • NPI 1487805180
  NPD (past)
• Floyd County Memorial Hospital Commission

  • Critical Access Hospital
  • Charles City, IA
  • NPI 1265402390
  NPD (past)
• Iowa Sleep Disorders Center, P.C.

  • Sleep Disorder Diagnostic Clinic/Center
  • Ankeny, IA
  • NPI 1437320595
  NPD (past)
• Michael McCubbin, MD, PC

  dba Allergy, Lung and Sleep Center

  • Pediatric Allergy/Immunology Physician
  • Pella, IA
  • NPI 1598983827
  NPD (past)
• Gundersen Clinic LTD

  • Clinic/Center
  • La Crosse, WI
  • NPI 1851343115
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396828800000",
    "number": "1508872276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96",
            "address_2": "911 S. MILL STREET",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521010096",
            "telephone_number": "563-382-1200",
            "fax_number": "563-382-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 S MILL ST",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521012023",
            "telephone_number": "563-382-1200",
            "fax_number": "563-382-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADNESS",
        "first_name": "MARCY",
        "middle_name": "ANN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2014-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "000914",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "000914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Engelken, PT, DPT, SCS, ATC/L
• Diane Jean Ernst, ARNP
• Tracy Lynn Essa, MS
• Euro Team Physical Therapy Clinic,PC
• John M Evelsizer Olson, PA-C
• Family Care Clinic PC
• Katherine M Fanter, CRNA
• Barbara Fay, LMHC
• Timothy Duane Fechner, DPT
• Breanne Marie Fillman

• Medical Physician Assistant in Decorah, IA
• Providers in Decorah, IA by specialty
• Medical Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.