Melissa M Mahon, CRNA/ARNP
Individual provider Active NPI Certified Registered Nurse Anesthetist · Bloomfield, IA
NPI 1003047820 · NPPES record last updated Feb 9, 2012
Key facts
- NPI
- 1003047820
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- D-129549 (IA)
- Practice address
- 105 E Locust St
Bloomfield, IA 52537-0054 - Phone
- (641) 664-3602
- Fax
- (641) 664-3765
- NPI assigned
- Jul 28, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medstream Anesthesia PLLC
Practice addresses (Care Compare)
1001 Penn Ave
Ottumwa, IA 52501-6427
Phone (641) 684-2300
Hospital & facility affiliations
- Henry County Health Center
- Ottumwa Regional Health Center
- Southeast Iowa Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.06 of 100
- Quality
- 64.36
- Promoting interoperability
- 81
- Improvement activities
- 40
- Cost
- 75.01
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120321000713 | IA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8123165313 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-129549 | IA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mahaska County Hospital | Current |
Accepting new patients | |
| Henry County Health Center, Inc. | Current | Accepting new patients | |
| Green Anesthesia Iowa PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Southeast Iowa Regional Medical Center, Inc. | Current |
Accepting new patients | |
| Davis County Hospital | Current | Accepting new patients | |
| Henry County Health Center Inc | Current |
Accepting new patients | |
| Mahaska County Hospital | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Van Buren County Hospital | Past | Accepting new patients | |
| Knoxville Area Anesthesia Services | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
509 N Madison St
Bloomfield, IA 52537
Phone (641) 664-2145
2000 S Main St
Fairfield, IA 52556
Phone (641) 469-4204
5445 Avenue O
Fort Madison, IA 52627
Phone (319) 372-6530
407 S White St
Mt Pleasant, IA 52641
Phone (319) 385-6110
1229 C Ave E
Oskaloosa, IA 52577
Phone (641) 672-3100
201 Trueblood Ave
Oskaloosa, IA 52577
Phone (641) 672-3360
1221 S Gear Ave
West Burlington, IA 52655
Phone (319) 768-3622
Interoperability endpoints
- mmahon61497@uihcdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ARNP9207011 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | D-129549 | IA | Yes |
Addresses
Primary practice location
105 E Locust St
Bloomfield, IA 52537-0054
Mailing address
PO Box 54
Bloomfield, IA 52537-0054
Phone (641) 664-3602
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Other | FL | BCBS |
| PENDING | Medicaid | FL |
Other providers in Bloomfield, IA
- Dianne Kay Knapp
- James A Kouba
- Joseph Jeremy Kruser
- Jackie K Lauer
- Long Term Medical Supply Corporation
- Amanda Breck Mathews
- Amanda E McKinley
- Valerie K McKinley
- Lloyd Alan Mietzner
- Phoebe Elizabeth Moore
All providers in Bloomfield, IA · Certified Registered Nurse Anesthetist in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.