Active NPI
Sara M McIntosh, ARNP
- Nurse Practitioner
- Missouri Valley, IA
National Provider Identifier
1861940249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 112148
- Practice address
- 809 Elm St
Missouri Valley, IA 51555-1140 - Phone
- (712) 642-2794
- Fax
- (712) 642-9338
- NPI assigned
- Sep 14, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 112148 | NE | Primary |
| Nurse Practitioner | 363L00000X | A107317 | IA |
Addresses
Primary practice location
809 Elm St
Missouri Valley, IA 51555-1140
Mailing address
809 Elm St
Missouri Valley, IA 51555-1140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161004000170 | IA | Practitioner - Nurse Practitioner | 6507153723 | Reassigns benefits to 2 organizations |
| I20200210002006 | TX | Practitioner - Nurse Practitioner | 6507153723 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
225 Bluff St
Winnebago, NE 68071-9703
Hospital & facility affiliations
- Twelve Clans Unity Hospital
- Pender Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A107317 | IA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| Winnebago Tribe of Nebraska | Current | Accepting new patients | |
| Rosebud Indian Health Service | Current | Accepting new patients | |
| Winnebago Tribe of Nebraska | Current | Accepting new patients | |
| Winnebago Tribe of Nebraska | Current | Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| Rosebud Indian Health Service | Current | Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| Alegent Health Community Memorial Hospital of Missouri Valley, Iowa | Current | Accepting new patients |
Locations
631 N 8th St
Mo Valley, IA 51555
Phone (712) 642-2045
225 Bluff St
Winnebago, NE 68071
Phone (402) 745-3950
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 and National Provider Directory roles.
-
- Critical Access Hospital
- Missouri Valley, IA
- NPI 1508964123
IA
-
- General Acute Care Hospital
- Pine Ridge, SD
- NPI 1497786412
TX
-
- Family Medicine Physician
- Missouri Valley, IA
- NPI 1023154176
IA
-
- Clinic/Center
- Martin, SD
- NPI 1003208257
-
- Clinic/Center
- Wanblee, SD
- NPI 1962559518
-
- Ambulatory Surgical Clinic/Center
- Rosebud, SD
- NPI 1790955128
-
- Land Ambulance
- Winnebago, NE
- NPI 1295720811
Hospital & facility affiliations 2
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": "1473811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1861940249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 ELM ST",
"city": "MISSOURI VALLEY",
"state": "IA",
"postal_code": "515551140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 ELM ST",
"city": "MISSOURI VALLEY",
"state": "IA",
"postal_code": "515551140",
"telephone_number": "712-642-2794",
"fax_number": "712-642-9338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTOSH",
"first_name": "SARA",
"middle_name": "M",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-14",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NE",
"license": "112148",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "A107317",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missouri Valley, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.