Individual provider Active NPI

Maureen McCormick, PA-C

  • Physician Assistant
  • Cedar Rapids, IA
National Provider Identifier
1912318890
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
002392 Issued in IA
Practice address
1026 A Ave NE
Cedar Rapids, IA 52402
Phone
(319) 369-7211
NPI assigned
May 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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 002392 IA Primary

Addresses

Primary practice location

1026 A Ave NE
Cedar Rapids, IA 52402

Mailing address

925 Fox Valley Dr
North Liberty, IA 52317-8016
Phone (563) 503-9646

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
I20180815000192 IA Practitioner - Physician Assistant 8527317114 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002392IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allen Memorial Hospital Corporation Physician Assistant CurrentSince Jun 10, 2023 Accepting new patients
The Finley Hospital CurrentSince Jul 17, 2018 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
The Finley Hospital Physician Assistant CurrentSince Jul 17, 2018 Accepting new patients
Trinity Regional Medical Center Past Accepting new patients

Locations

1026 A Ave NE
Cedar Rapids, IA 52402
Phone (319) 369-5970

1500 Delhi St
Ste 4300
Dubuque, IA 52001
Phone (563) 557-5971

350 N Grandview Ave
Dubuque, IA 52001
Phone (563) 582-1881

8101 Birchwood Ct
Unit R
Urbandale, IA 50131
Phone (515) 471-9363

1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886

Interoperability endpoints

  • Direct secure messaging: mlonergan199826@direct.unitypoint.org

Organizations & group practices 6

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": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1912318890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 FOX VALLEY DR",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523178016",
            "telephone_number": "563-503-9646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 A AVE NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "52402",
            "telephone_number": "319-369-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "MAUREEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-14",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "002392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.