Individual provider Active NPI

Angelique McCoy

  • Family Nurse Practitioner
  • Dubuque, IA
National Provider Identifier
1558810978
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A122394 Issued in IA
Practice address
350 N Grandview Ave
Dubuque, IA 52001-6388
Phone
(563) 582-1881
NPI assigned
Sep 27, 2016
Last updated
Sep 27, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A122394 IA Primary

Addresses

Primary practice location

350 N Grandview Ave
Dubuque, IA 52001-6388

Mailing address

202 Main St
Norwalk, IA 50211-1634
Phone (515) 447-0786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161111000605 IA Practitioner - Nurse Practitioner 3375822521 Reassigns benefits to 6 organizations
I20231026002688 WI Practitioner - Nurse Practitioner 3375822521 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A122394IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Center-Dubuque CurrentSince Jun 28, 2023 Accepting new patients
Mercy Medical Center-Dubuque CurrentSince Jun 28, 2023 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
The Finley Hospital Current Accepting new patients
The Finley Hospital Family CurrentSince Oct 15, 2016 Accepting new patients
Dallas County Hospital CurrentSince Jan 1, 2023 Accepting new patients
Dallas County Hospital Current Accepting new patients
Mercy Medical Center-Dyersville CurrentSince May 7, 2023 Accepting new patients
Southwest Health Center, Inc. CurrentSince Sep 16, 2023 Accepting new patients
Dallas County Hospital CurrentSince Jan 1, 2023 Accepting new patients
Southwest Health Center, Inc. CurrentSince Sep 16, 2023 Accepting new patients
Southwest Health Center, Inc CurrentSince Dec 1, 2025 Accepting new patients
Southwest Health Center, Inc. Past Accepting new patients

Locations

350 N Grandview Ave
Dubuque, IA 52001
Phone (563) 582-1881

250 Mercy Dr
Dubuque, IA 52001
Phone (563) 589-8000

1111 3rd St SW
Dyersville, IA 52040
Phone (563) 875-2953

610 10th St
Perry, IA 50220
Phone (515) 465-3547

2388 State Road 80
Cuba City, WI 53807
Phone (608) 744-2767

1450 Eastside Rd
#2
Platteville, WI 53818

1400 Eastside Rd
Platteville, WI 53818
Phone (608) 342-4712

1450 Eastside Rd
Platteville, WI 53818
Phone (608) 348-2331

Interoperability endpoints

  • Direct secure messaging: agodfredsen85314@direct.unitypoint.org
  • Direct secure messaging: amccoy3934600@direct.trinity-health.org
  • Direct secure messaging: amccoy489218@direct-ehr-ssmhc.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1558810978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 MAIN ST",
            "city": "NORWALK",
            "state": "IA",
            "postal_code": "502111634",
            "telephone_number": "515-447-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N GRANDVIEW AVE",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016388",
            "telephone_number": "563-582-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "ANGELIQUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-27",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A122394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

Verify at the official NPI Registry.