Individual provider Active NPI

Connie MC Daniel, ARNP

  • Nurse Practitioner
  • Ida Grove, IA
National Provider Identifier
1972941441
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A181147 Issued in IA
Practice address
701 E 2ND Ave
Ida Grove, IA 51445-1699
Phone
(712) 364-3311
NPI assigned
Jun 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 111480 NE
Family Nurse Practitioner 363LF0000X 111480 NE
Nurse Practitioner 363L00000X A181147 IA Primary

Addresses

Primary practice location

701 E 2ND Ave
Ida Grove, IA 51445-1699

Mailing address

701 E 2ND Ave
Ida Grove, IA 51445-1699
Phone (712) 364-3311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 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
I20130809000361 NE Practitioner - Nurse Practitioner 8628210374 Reassigns benefits to 1 organization
I20241022000921 IA Practitioner - Nurse Practitioner 8628210374 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ida County Iowa Community HospitalGroup PAC ID 9537070826, shared by 7 NPIs, 12 clinicians

Practice addresses (Care Compare)

701 E 2ND St
Ida Grove, IA 51445-1699

Hospital & facility affiliations

  • Horn Memorial Hospital Hospital, Ida Grove, IA, CCN 161354

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A181147IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ida County Iowa Community Hospital CurrentSince Oct 21, 2024 Accepting new patients
Ida County Iowa Community Hospital Current Accepting new patients
Ida County Iowa Community Hospital Current Accepting new patients
Ida County Iowa Community Hospital Family CurrentSince Oct 21, 2024 Accepting new patients
Oneworld Community Health Centers, Inc. CurrentSince Jul 10, 2017 Accepting new patients
Lifecare Family Medicine of Bellevue, P.C. Nurse Practitioner Past Accepting new patients

Locations

1400 S Kiel St
Holstein, IA 51025
Phone (712) 368-3600

700 E 2nd St
Ida Grove, IA 51445
Phone (712) 364-2514

701 E 2nd St
Ida Grove, IA 51445
Phone (712) 364-3311

520 Main St
Ste 336
Mapleton, IA 51034

520 Main St
Ste 236
Mapleton, IA 51034

4920 S 30th St
Ste 103
Omaha, NE 68107

122 S 6th St
Plattsmouth, NE 68048
Phone (402) 296-2345

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.

Hospital & facility affiliations 1

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": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1972941441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E 2ND AVE",
            "city": "IDA GROVE",
            "state": "IA",
            "postal_code": "514451699",
            "telephone_number": "712-364-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E 2ND AVE",
            "city": "IDA GROVE",
            "state": "IA",
            "postal_code": "514451699",
            "telephone_number": "712-364-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "CONNIE",
        "middle_name": "MC",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-06",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "111480",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "111480",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A181147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ida Grove, IA

Sources for this page

Verify at the official NPI Registry.