MRS. SALLY JO MCMAHON (ARNP) – Family Nurse Practitioner, NPI 1073787255

MRS. SALLY JO MCMAHON (ARNP) is a healthcare provider. based in Sioux city, Iowa. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. A-065969 (IA). The NPI Number for MRS. SALLY JO MCMAHON (ARNP) is 1073787255

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SALLY JO MCMAHON (ARNP)
NPI
1073787255
Phone
(712) 266-2760
Address
5885 SUNNYBROOK DR
Enumeration Date
17 April 2008
Last Update Date
10 August 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7122793500
Graduation Year
2007 (19 years ago)
PAC ID
2365506243
Group Practice PAC ID
0749198026
Professional Enrollment ID
I20090122000296
Address ID
IA511043734SI2720XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

3,532 NURSE PRACTITIONER in IA

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Provider Addresses for MRS. SALLY JO MCMAHON (ARNP)

  • Sunnybrook Medical Plaza, 5885, Sunnybrook Drive, Sioux City, Woodbury County, Iowa, 51106, United States

    SIOUX CITY, IA 511064203

    Phone: (712) 266-2760

    Fax: (712) 266-2719

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-01-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090122000296INurse PractitionerIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 51106)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749198026View full group profile
NameSpecialtyState
Interventional RadiologySD
Nurse PractitionerIA
P S Y C H I A T R YCO
A N E S T H E S I O L O G YFL
Internal MedicineIA
Emergency MedicineIA
-IA
Pulmonary Disease, Internal MedicineTX
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseaseIA
Nurse PractitionerIA

Reviews

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Frequently asked questions

What NPI should I save for MRS. SALLY JO MCMAHON (ARNP)?
Save NPI 1073787255 if you need a stable reference for MRS. SALLY JO MCMAHON (ARNP).
Does this profile mean MRS. SALLY JO MCMAHON (ARNP) is currently active?
Yes — MRS. SALLY JO MCMAHON (ARNP) appears active in the national provider directory.
Can you summarize MRS. SALLY JO MCMAHON (ARNP)'s specialty in plain language?
Clinically, the directory lists MRS. SALLY JO MCMAHON (ARNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MRS. SALLY JO MCMAHON (ARNP)'s primary listing?
We display Sioux City, Iowa because that is what the record indicates for MRS. SALLY JO MCMAHON (ARNP).
Is MRS. SALLY JO MCMAHON (ARNP) a real provider?
This page reflects official NPPES data for NPI 1073787255. Always confirm identity and privileges with the practice and licensing boards.

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