Individual provider Active NPI

Macy Elaine McGrane, DNP

  • Family Nurse Practitioner
  • Dubuque, IA
National Provider Identifier
1982481453
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A176197 Issued in IA
Practice address
3375 Lake Ridge Dr
Dubuque, IA 52003-7864
Phone
(563) 207-8932
NPI assigned
Sep 11, 2023
Last updated
Nov 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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 A176197 IA Primary

Addresses

Primary practice location

3375 Lake Ridge Dr
Dubuque, IA 52003-7864

Mailing address

1840 275TH St
Manchester, IA 52057-8538

Other names 1

  • Macy Gudenkauf Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 2, 2025 through Apr 2, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A176197IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Statera LLC CurrentSince Sep 17, 2023 Accepting new patients

Locations

3375 Lake Ridge Dr
Dubuque, IA 52003
Phone (563) 207-8932

Interoperability endpoints

  • Direct secure messaging: macy.gudenkauf.1@17282.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1982481453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 275TH ST",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520578538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 LAKE RIDGE DR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520037864",
            "telephone_number": "563-207-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRANE",
        "first_name": "MACY",
        "middle_name": "ELAINE",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A176197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MACY",
            "last_name": "GUDENKAUF",
            "credential": "DNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dubuque, IA

Sources for this page

Verify at the official NPI Registry.