Individual provider Active NPI

Clare Macdonald

  • Family Nurse Practitioner
  • Kalona, IA
National Provider Identifier
1689215923
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A157009 Issued in IA
Practice address
503 3Rd St
Kalona, IA 52247-9526
Phone
(319) 656-3151
NPI assigned
Oct 7, 2019
Last updated
Jan 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.1655283 CO
Registered Nurse 163W00000X 157009 IA
Family Nurse Practitioner 363LF0000X APN.0995075-NP CO
Family Nurse Practitioner 363LF0000X A157009 IA Primary

Addresses

Primary practice location

503 3Rd St
Kalona, IA 52247-9526

Mailing address

503 3Rd St
Kalona, IA 52247-9526
Phone (319) 656-3151

Other practice location 1

1304 N Academy Blvd Ste 201
Colorado Springs, CO 80909-3318
Phone (719) 465-2388

Other names 1

  • Clare McAndrews 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
I20210202002874 IA Practitioner - Nurse Practitioner 4284966086 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.1655283COMDRegistered Nurse
157009IAMDRegistered Nurse
APN.0995075-NPCOMDFamily Nurse Practitioner
A157009IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Services Iowa City, Inc. CurrentSince Feb 1, 2021 Accepting new patients
Mercy Services Iowa City, Inc. CurrentSince Feb 1, 2021 Accepting new patients
Mercy Services Iowa City, Inc. Current Accepting new patients
Mercy Hospital, Iowa City, Iowa Current Accepting new patients

Locations

1486 S 1st Ave
Ste B
Iowa City, IA 52240
Phone (319) 337-7271

503 3rd St
Kalona, IA 52247
Phone (319) 656-3151

Interoperability endpoints

  • Direct secure messaging: clare.macdonald@552337174953988.direct.elationemr.com
  • Direct secure messaging: claremacdonald@mic.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1689215923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 3RD ST",
            "city": "KALONA",
            "state": "IA",
            "postal_code": "522479526",
            "telephone_number": "319-656-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 3RD ST",
            "city": "KALONA",
            "state": "IA",
            "postal_code": "522479526",
            "telephone_number": "319-656-3151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1304 N Academy Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809093318",
            "country_code": "US",
            "telephone_number": "719-465-2388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "CLARE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.1655283",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "157009",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0995075-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A157009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLARE",
            "last_name": "MCANDREWS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kalona, IA

Sources for this page

Verify at the official NPI Registry.