Individual provider Active NPI

Marcy J Gregg, ARNP

  • Family Nurse Practitioner
  • Mount Ayr, IA
National Provider Identifier
1861542490
Registry record updated Nov 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A073758 Issued in IA
Practice address
504 N. Cleveland St.
Mount Ayr, IA 50854-2201
Phone
(641) 464-3226
Fax
(641) 464-4420
NPI assigned
Jan 12, 2007
Last updated
Nov 23, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2009

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 A073758 IA Primary

Addresses

Primary practice location

504 N. Cleveland St.
Mount Ayr, IA 50854-2201

Mailing address

504 N. Cleveland St.
Mount Ayr, IA 50854-2201
Phone (641) 464-3226

Other identifiers 6

IdentifierTypeStateIssuer
IA0112OtherIAJOHN DEERE
13590OtherIAMIDLAND CHOICE
06878OtherIABLUE CROSS
0219451MedicaidIA
42510703MedicaidMO
500013821MedicaidIA

Other names 1

  • Miss Marcy Jo Hancock Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
073758IAMDAthletic Trainer
A073758IAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258934400000",
    "number": "1861542490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 N. CLEVELAND ST.",
            "city": "MOUNT AYR",
            "state": "IA",
            "postal_code": "508542201",
            "telephone_number": "641-464-3226",
            "fax_number": "641-464-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 N. CLEVELAND ST.",
            "city": "MOUNT AYR",
            "state": "IA",
            "postal_code": "508542201",
            "telephone_number": "641-464-3226",
            "fax_number": "641-464-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGG",
        "first_name": "MARCY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2009-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A073758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "IA0112",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLAND CHOICE",
            "identifier": "13590",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "06878",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0219451",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42510703",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500013821",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCY",
            "last_name": "HANCOCK",
            "middle_name": "JO",
            "prefix": "MISS",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Ayr, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.