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KELLY SUE MCMAHON N.P.
NPI 1013987189
Nurse Practitioner in Dubuque, IA

Active since January 23, 2006PECOS EnrolledAccepts Medicare Assignment
95.01/100
CMS Quality Rating
1075 CEDAR CROSS RD STE 1, DUBUQUE, IA 52003(563) 582-1000(563) 582-1113 Get Directions Write a Review

NPPES record last updated: October 28, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 28, 2019, Mar 16, 2017 (2 updates tracked since 2017).

About Kelly Sue Mcmahon N.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY SUE MCMAHON N.P. (NPI 1013987189) is an individual nurse practitioner in Dubuque, Iowa, licensed in Wisconsin (7461-33) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Midwest Medical Center, and maintains a secondary practice location in Dubuque.

NPPES Registry Identity

NPI1013987189
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELLY SUE MCMAHONCredential: N.P.
Location Address1075 CEDAR CROSS RD STE 1Dubuque, IA 52003-7748
Mailing Address1075 Cedar Cross Rd Ste 1Dubuque, IA 52003-7748 · (563) 582-1000 · Fax (563) 582-1113
Phone(563) 582-1000
Fax(563) 582-1113
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 23, 2006
Last NPPES UpdateOctober 28, 20192 updates tracked since enumeration
✔ NPI 1013987189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 7461-33
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License 087220 (IA)
Also ListedNurse Practitioner · Obstetrics & GynecologyTaxonomy 363LX0001X · License 087220 (IA)
1075 CEDAR CROSS RD STE 1, Dubuque, IA 52003
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Secondary Practice Location 1

Location 1Women's Wellness Center, PC, 777 Mazzuchelli PlaceDubuque, IA 52001 · Phone (563) 588-0011 · Fax (563) 588-0595

Other Identifiers 1

Medicaid0433433IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Sue Mcmahon N.p. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537159504
PECOS Enrollment IDI20040513000538
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
52 services33 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
33 services22 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
25 services25 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
19 services14 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Midwest Medical Center

Critical Access Hospitals · Galena, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141302
Location1 Medical Center DriveGalena, IL 61036 · Jo Daviess County
Emergency services

Mercyone Dubuque Medical Center

Acute Care Hospitals · Dubuque, IA
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number160069
Location250 Mercy DriveDubuque, IA 52001 · Dubuque County
Emergency services Birthing friendly

Finley Hospital

Acute Care Hospitals · Dubuque, IA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160117
Location350 North Grandview AvenueDubuque, IA 52001 · Dubuque County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.02
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EPIC HEALTH AND WELLNESS PC
Clinic/Center (Primary Care)
1075 CEDAR CROSS RD STE 1
DUBUQUE, IA 52003
Dubuque County (563) 582-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Mcmahon's NPI number?

The NPI number for Kelly Mcmahon is 1013987189. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is Kelly Mcmahon located?

Kelly Mcmahon practices at 1075 Cedar Cross Rd Ste 1, Dubuque, IA 52003. The listed phone number is (563) 582-1000.

What is Kelly Mcmahon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kelly Mcmahon enrolled in Medicare?

Yes. Kelly Mcmahon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Mcmahon accept?

Health plans from Oscar Insurance Company list Kelly Mcmahon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kelly Mcmahon affiliated with any hospitals?

According to CMS data, Kelly Mcmahon is affiliated with Midwest Medical Center, Mercyone Dubuque Medical Center and Finley Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Mcmahon was last updated on October 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.