Individual provider Active NPI

Tracy A Alshouse, PAC

  • Medical Physician Assistant
  • Cedar Rapids, IA
National Provider Identifier
1528051976
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0817 Issued in IA
Practice address
202 10TH St SE
Cedar Rapids, IA 52403-2414
Phone
(319) 364-7730
NPI assigned
Aug 31, 2005
Last updated
May 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0817 IA Primary

Addresses

Primary practice location

202 10TH St SE
Cedar Rapids, IA 52403-2414

Mailing address

202 10TH St SE
Cedar Rapids, IA 52403-2414
Phone (319) 364-7730

Other identifiers 1

IdentifierTypeStateIssuer
0192542MedicaidIA

Other names 1

  • Tracy A Rich-Alshouse Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111116000909 IA Practitioner - Physician Assistant 5991979502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Clinic of Iowa PCGroup PAC ID 2163325242, 132 clinicians

Practice addresses (Care Compare)

202 10TH St SE
Cedar Rapids, IA 52403-2414
Phone (319) 247-3010

275 10TH St SE
Cedar Rapids, IA 52403-2414
Phone (319) 247-3010

Merit-based Incentive Payment System (MIPS)

Final score
83.5 of 100Reported as group
Quality
68.67
Promoting interoperability
100
Improvement activities
40
Cost
76.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0817IAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Clinic of Iowa, PC CurrentSince Jan 1, 2018 Accepting new patients

Locations

202 10th St SE
Cedar Rapids, IA 52403
Phone (319) 247-3010

202 10th St SE
Ste 165
Cedar Rapids, IA 52403
Phone (319) 297-2900

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIJCBD

Organizations & group practices 2

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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1528051976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 10TH ST SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032414",
            "telephone_number": "319-364-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 10TH ST SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032414",
            "telephone_number": "319-364-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSHOUSE",
        "first_name": "TRACY",
        "middle_name": "A",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "0817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0192542",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "RICH-ALSHOUSE",
            "middle_name": "A",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.