NPIMap

Individual provider Active NPI

Michelle R Doty, FNP-C

  • Family Nurse Practitioner
  • Ida Grove, IA
National Provider Identifier
1699122085
Registry record updated Jun 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A100706 Issued in IA
Practice address
700 E 2ND St
Ida Grove, IA 51445-1601
Phone
(712) 364-2514
Fax
(712) 364-4430
NPI assigned
May 16, 2016
Last updated
Jun 17, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 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 A100706 IA Primary

Addresses

Primary practice location

700 E 2ND St
Ida Grove, IA 51445-1601

Mailing address

700 E 2ND St
Ida Grove, IA 51445-1601
Phone (712) 364-2514

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
I20160808000178 IA Practitioner - Nurse Practitioner 4981998424 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health Care of Siouxland PLCGroup PAC ID 7315839412, 49 clinicians

Practice addresses (Care Compare)

4230 Hamilton Blvd
Sioux City, IA 51104-1137
Phone (712) 239-4300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ida County Iowa Community Hospital Current Accepting new patients
Shenandoah Medical Center CurrentSince Feb 14, 2018 Accepting new patients
Shenandoah Medical Center CurrentSince Feb 14, 2018 Accepting new patients
Shenandoah Medical Center Current Accepting new patients
Ida County Iowa Community Hospital Past Accepting new patients
Affordable Medical Care LLC Past Accepting new patients
Diagnostic Radiology PC PastSince Sep 10, 2023 Accepting new patients
Family Health Care of Siouxland LLC Past Accepting new patients
Ida County Iowa Community Hospital Family Past Accepting new patients

Locations

1 Jack Foster Dr
Shenandoah, IA 51601
Phone (712) 246-7240

300 Pershing Ave
Shenandoah, IA 51601
Phone (712) 246-1230

Interoperability endpoints

  • Direct secure messaging: mdotyarnp@hornmh.securechart.com
  • Direct secure messaging: michelledoty@fhcs.allscriptsdirect.net

Organizations & group practices 10

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 6

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": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466121600000",
    "number": "1699122085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E 2ND ST",
            "city": "IDA GROVE",
            "state": "IA",
            "postal_code": "514451601",
            "telephone_number": "712-364-2514",
            "fax_number": "712-364-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E 2ND ST",
            "city": "IDA GROVE",
            "state": "IA",
            "postal_code": "514451601",
            "telephone_number": "712-364-2514",
            "fax_number": "712-364-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTY",
        "first_name": "MICHELLE",
        "middle_name": "R",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A100706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ida Grove, IA

Sources for this page

Verify at the official NPI Registry.