Individual provider Active NPI

Holly A McClintock, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Dodge, IA
National Provider Identifier
1558656876
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G-122426 Issued in IA
Practice address
114 N 27TH St
Fort Dodge, IA 50501-4322
Phone
(515) 302-8072
Fax
(515) 302-8076
NPI assigned
Jun 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G-122426 IA Primary

Addresses

Primary practice location

114 N 27TH St
Fort Dodge, IA 50501-4322

Mailing address

114 N 27TH St
Fort Dodge, IA 50501-4322
Phone (515) 302-8072

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
I20121015000737 IA Practitioner - Nurse Practitioner 3274783915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

114 N 27TH St
Fort Dodge, IA 50501-4322
Phone (515) 302-8072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
G-122426IAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Fort Dodge, Inc. CurrentSince Sep 1, 2017 Accepting new patients
McClintock Psychiatry Services LLC Psychiatric/Mental Health CurrentSince Sep 1, 2024 Accepting new patients
Boone County Hospital Past Accepting new patients

Locations

126 N 10th St
Fort Dodge, IA 50501
Phone (515) 576-6500

114 N 27th St
Fort Dodge, IA 50501
Phone (515) 302-8072

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1558656876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 N 27TH ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014322",
            "telephone_number": "515-302-8072",
            "fax_number": "515-302-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N 27TH ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014322",
            "telephone_number": "515-302-8072",
            "fax_number": "515-302-8076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLINTOCK",
        "first_name": "HOLLY",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G-122426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

Verify at the official NPI Registry.