Individual provider Active NPI

Sara M McIntosh, ARNP

  • Nurse Practitioner
  • Missouri Valley, IA
National Provider Identifier
1861940249
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
112148 Issued in NE
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

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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
Winnebago Tribe of NebraskaGroup PAC ID 7113268640, 32 clinicians

Practice addresses (Care Compare)

225 Bluff St
Winnebago, NE 68071-9703

Hospital & facility affiliations

  • Twelve Clans Unity Hospital Hospital, Winnebago, NE, CCN 280059
  • Pender Community Hospital Hospital, Pender, NE, CCN 281349

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A107317IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Winnebago Tribe of Nebraska CurrentSince Jan 15, 2022 Accepting new patients
Rosebud Indian Health Service CurrentSince Feb 7, 2026 Accepting new patients
Winnebago Tribe of Nebraska CurrentSince Jan 15, 2022 Accepting new patients
Winnebago Tribe of Nebraska CurrentSince Apr 10, 2024 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Jan 7, 2020 Accepting new patients
Rosebud Indian Health Service CurrentSince Feb 7, 2026 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Jan 7, 2020 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.

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

Verify at the official NPI Registry.