MCKENZIE D WOODYARD (ARNP) – Nurse Practitioner, NPI 1104590686

MCKENZIE D WOODYARD (ARNP) is a healthcare provider. based in Ankeny, Iowa. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. G164206 (IA). The NPI Number for MCKENZIE D WOODYARD (ARNP) is 1104590686

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MCKENZIE D WOODYARD (ARNP)
NPI
1104590686
Phone
(515) 805-0956
Address
PO BOX 672
Enumeration Date
6 August 2021
Last Update Date
28 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5158050956
Graduation Year
2021 (5 years ago)
PAC ID
5294132254
Group Practice PAC ID
1254718398
Professional Enrollment ID
I20210920000366
Address ID
IA503094104DE500XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

3,529 NURSE PRACTITIONER in IA

Provider Addresses for MCKENZIE D WOODYARD (ARNP)

  • PO BOX 672

    ANKENY, IA 500210672

    Phone: (515) 805-0956

    Fax: (515) 335-2298

    Type: Mailing

  • 500 LOCUST ST

    DES MOINES, IA 503094104

    Phone: (515) 805-0956

    Fax: (515) 335-2298

    Type: Location

  • 200 HAWKINS DR

    IOWA CITY, IA 522421009

    Phone: (319) 356-4658

    Fax: (319) 356-2587

    Type: Mailing

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: 2021-09-20

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
I20210920000366INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes252134$0
99213Established patient office or other outpatient visit, 20-29 minutes3429$0
View full utilization report →

Insurance plans in this area (ZIP 50021)

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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: 1254718398View full group profile
NameSpecialtyState
Clinical Social WorkerIA
Nurse PractitionerIA
Nurse PractitionerIA
Clinical Social WorkerIA
Clinical Social WorkerIA
Mental Health CounselorIL
Nurse PractitionerIA
Clinical Social WorkerIA
Nurse PractitionerIA
Nurse PractitionerIA

Reviews

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Frequently asked questions

Is there an official ID for MCKENZIE D WOODYARD (ARNP) in U.S. healthcare records?
The official identifier for MCKENZIE D WOODYARD (ARNP) is NPI 1104590686.
Is MCKENZIE D WOODYARD (ARNP) shown as active in public data?
Registry records indicate MCKENZIE D WOODYARD (ARNP) maintains an active NPI.
How would a patient describe MCKENZIE D WOODYARD (ARNP)'s focus?
For MCKENZIE D WOODYARD (ARNP), the primary taxonomy reads as Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MCKENZIE D WOODYARD (ARNP) located near Ankeny?
MCKENZIE D WOODYARD (ARNP) currently maps to Ankeny, Iowa in this extract.
When was this NPI issued?
Enumeration for MCKENZIE D WOODYARD (ARNP) is noted as August 6, 2021 where the registry provides it.

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