NPIMap

Individual provider Active NPI

Amelia Meagan McConaghy, D.O.

  • Family Medicine Physician
  • Waterloo, IA
National Provider Identifier
1588082556
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO190748 Issued in OR
Practice address
905 Franklin St.
Waterloo, IA 50703
Phone
(503) 221-0161
NPI assigned
Apr 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO190748 OR Primary

Addresses

Primary practice location

905 Franklin St.
Waterloo, IA 50703

Mailing address

905 Franklin St.
Waterloo, IA 50703
Phone (503) 221-0161

Other names 1

  • Amelia Butler-Nalin Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amcconaghy10898@direct.theportlandclinic.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221013001889 IA Practitioner - Family Practice 9133498579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Touro Un College of Osteopathic Medicine, Vallejo, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peoples Community Health Clinic, Inc.Group PAC ID 6406746668, 29 clinicians

Practice addresses (Care Compare)

118 S Main St
Clarksville, IA 50619-2008
Phone (319) 874-3000

905 Franklin St
Waterloo, IA 50703-4407
Phone (319) 874-3000

Hospital & facility affiliations

  • Waverly Health Center Hospital, Waverly, IA, CCN 161339
  • Allen Hospital Hospital, Waterloo, IA, CCN 160110
  • Mercyone Waterloo Medical Center Hospital, Waterloo, IA, CCN 160067
  • Floyd County Medical Center Hospital, Charles City, IA, CCN 161347

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO190748ORMDFamily Medicine Physician
5775OKMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Laboratory Corporation of America Holdings Current Accepting new patients
Peoples Community Health Clinic, Inc CurrentSince Oct 17, 2022 Accepting new patients
Peoples Community Health Clinic, Inc Current Accepting new patients
Peoples Community Health Clinic, Inc. CurrentSince Oct 17, 2022 Accepting new patients
Floyd County Memorial Hospital Commission Family Medicine Past Accepting new patients

Locations

905 Franklin St
Waterloo, IA 50703
Phone (319) 272-4300

Interoperability endpoints

  • Direct secure messaging: amcconaghy10898@direct.theportlandclinic.net
  • Direct secure messaging: amcconaghy714466@directa.mercy.net
  • Direct secure messaging: amcconaghy635215@direct.ochin.org

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1396742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1588082556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 FRANKLIN ST.",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "50703",
            "telephone_number": "503-221-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 FRANKLIN ST.",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "50703",
            "telephone_number": "503-221-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONAGHY",
        "first_name": "AMELIA",
        "middle_name": "MEAGAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-06",
        "last_updated": "2023-08-31",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO190748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amcconaghy10898@direct.theportlandclinic.net",
            "affiliation": "N",
            "address_1": "5005 NE Sandy Blvd",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "97213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMELIA",
            "last_name": "BUTLER-NALIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.