Individual provider Active NPI

Jody Kathleen McKee, PA

  • Physician Assistant
  • Coralville, IA
National Provider Identifier
1811967219
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001292 Issued in IA
Practice address
1100 6TH St
Suite 202
Coralville, IA 52241-1755
Phone
(319) 337-4566
Fax
(319) 337-4766
NPI assigned
Jan 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001292 IA Primary

Addresses

Primary practice location

1100 6TH St
Suite 202
Coralville, IA 52241-1755

Mailing address

1100 6TH St
Suite 202
Coralville, IA 52241-1755
Phone (319) 337-4566

Other identifiers 3

IdentifierTypeStateIssuer
2208108MedicaidIA
17541OtherIABLUE CROSS BLUE SHIELD
391894814-02OtherIATAX ID NUMBER

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
I20040426000214 IA Practitioner - Physician Assistant 1557357365 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epiphany Dermatology of Iowa PLCGroup PAC ID 7618307034, 19 clinicians

Practice addresses (Care Compare)

501 12TH Ave
Suite 101
Coralville, IA 52241-1774
Phone (319) 337-3177

5264 Council St NE
Suite 700
Cedar Rapids, IA 52402-2477
Phone (319) 363-9936

Merit-based Incentive Payment System (MIPS)

Final score
84.84 of 100Reported as group
Quality
89.24
Improvement activities
40
Cost
63.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001292IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kimberly K. Schulz Physician Assistant Current Accepting new patients

Locations

1100 6th St
Ste 202
Coralville, IA 52241
Phone (319) 337-4566

210 4th Ave
Grinnell, IA 50112
Phone (641) 236-2055

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1811967219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 6TH ST",
            "address_2": "SUITE 202",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411755",
            "telephone_number": "319-337-4566",
            "fax_number": "319-337-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 6TH ST",
            "address_2": "SUITE 202",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411755",
            "telephone_number": "319-337-4566",
            "fax_number": "319-337-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEE",
        "first_name": "JODY",
        "middle_name": "KATHLEEN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2208108",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "17541",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID NUMBER",
            "identifier": "391894814-02",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

Verify at the official NPI Registry.