Individual provider Active NPI

Mary Margaret Barkley, FNP

  • Family Nurse Practitioner
  • Rockford, IL
National Provider Identifier
1669053765
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F01210286 Issued in IA
Practice address
3573 Springwheat
Rockford, IL 61114-5628
Phone
(815) 289-3100
NPI assigned
Apr 20, 2021
Last updated
Apr 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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 F01210286 IA Primary

Addresses

Primary practice location

3573 Springwheat
Rockford, IL 61114-5628

Mailing address

3573 Springwheat
Rockford, IL 61114-5628
Phone (815) 289-3100

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
I20210617002272 IA Practitioner - Nurse Practitioner 2466852074 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Post Acute Care Aco PLLCGroup PAC ID 2961804976, 25 clinicians
Midwest Post Acute Care PLLCGroup PAC ID 0143547117, 125 clinicians

Practice addresses (Care Compare)

200 7TH Ave SW
Altoona, IA 50009-1630
Phone (515) 967-4267

233 University Ave
Des Moines, IA 50314-3124
Phone (515) 284-1280

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F01210286IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Post Acute Care PLLC CurrentSince Jun 7, 2022 Accepting new patients
Midwest Post Acute Care Aco PLLC CurrentSince Jun 8, 2024 Accepting new patients
Cogent Healthcare of Iowa, PC CurrentSince Jan 1, 2023 Accepting new patients
Van Buren County Hospital Past Accepting new patients

Locations

3510 NW Abilene Rd
Ankeny, IA 50023
Phone (515) 963-9815

233 University Ave
Des Moines, IA 50314
Phone (515) 284-1280

204 N Keokuk Washington Rd
Keota, IA 52248
Phone (641) 636-3400

3 S 4th Ave
Marshalltown, IA 50158
Phone (641) 754-5145

921 Sunset Dr
Norwalk, IA 50211
Phone (515) 981-0604

2045 W Grand Ave
Ste B28354
Chicago, IL 60612

Interoperability endpoints

  • Direct secure messaging: mary.barkley.1@14940.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1669053765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3573 SPRINGWHEAT",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611145628",
            "telephone_number": "815-289-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3573 SPRINGWHEAT",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611145628",
            "telephone_number": "815-289-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKLEY",
        "first_name": "MARY",
        "middle_name": "MARGARET",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "F01210286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.