Individual provider Active NPI

Melissa Peters, DC

  • Chiropractor
  • Hiawatha, IA
National Provider Identifier
1154739621
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
074652 Issued in IA
Practice address
137 E Boyson Rd
Hiawatha, IA 52233-1276
Phone
(319) 294-0000
NPI assigned
Jul 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 074652 IA Primary

Addresses

Primary practice location

137 E Boyson Rd
Hiawatha, IA 52233-1276

Mailing address

1340 Edgewood Rd NW Apt 201
Cedar Rapids, IA 52405-5253
Phone (605) 777-5319

Other practice location 1

3221 16th Ave SW
Cedar Rapids, IA 52404-1453
Phone (605) 777-5319

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151222002557 IA Practitioner - Chiropractic 4688975378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2014
Medicare assignment
May accept Medicare assignment
Group practices
My Chiro LLCGroup PAC ID 9931355161, 8 clinicians

Practice addresses (Care Compare)

3221 16TH Ave SW
Cedar Rapids, IA 52404-1453
Phone (319) 294-0000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
074652IAMDChiropractor
1331SDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
My Chiro, L.L.C. Chiropractor CurrentSince Sep 19, 2022 Accepting new patients
Pinnacle Outreach, Inc. Chiropractor PastSince Jul 19, 2017 Accepting new patients

Locations

3221 16th Ave SW
Cedar Rapids, IA 52404
Phone (319) 294-0000

137 E Boyson Rd
Hiawatha, IA 52233
Phone (319) 294-0000

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1154739621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 EDGEWOOD RD NW APT 201",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524055253",
            "telephone_number": "605-777-5319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 E BOYSON RD",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522331276",
            "telephone_number": "319-294-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3221 16th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524041453",
            "country_code": "US",
            "telephone_number": "605-777-5319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "MELISSA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-29",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "074652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiawatha, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.