NPIMap

Individual provider Active NPI

Melyssa Mosley, ARNP

  • Nurse Practitioner
  • Davenport, IA
National Provider Identifier
1194232850
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
H106443 Issued in IA
Practice address
4700 E 56TH St Ste 100
Davenport, IA 52807-2904
Phone
(563) 421-0430
NPI assigned
Jan 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X H106443 IA Primary

Addresses

Primary practice location

4700 E 56TH St Ste 100
Davenport, IA 52807-2904

Mailing address

4700 E 56TH St Ste 100
Davenport, IA 52807-2904
Phone (563) 421-0480

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Melyssa.Vanskike@direct.genesishealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200330002051 IA Practitioner - Nurse Practitioner 6507128568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Health SystemGroup PAC ID 6103829338, 262 clinicians

Practice addresses (Care Compare)

4700 E 56TH St
Davenport, IA 52807-2904

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
34.85 of 100Reported as group
Quality
21.4
Improvement activities
0
Cost
76.92

Merit-based Incentive Payment System (MIPS)

Final score
29.09 of 100Reported as group
Quality
18.83
Promoting interoperability
0
Improvement activities
0
Cost
78.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health System Single Specialty CurrentSince Apr 6, 2020 Accepting new patients
Genesis Health System Single Specialty CurrentSince Apr 6, 2020 Accepting new patients

Locations

865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000

4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

Interoperability endpoints

  • Direct secure messaging: melyssa.vanskike@direct.genesishealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1194232850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 E 56TH ST STE 100",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072904",
            "telephone_number": "563-421-0480",
            "fax_number": "563-421-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 E 56TH ST STE 100",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072904",
            "telephone_number": "563-421-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSLEY",
        "first_name": "MELYSSA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-03",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "H106443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Melyssa.Vanskike@direct.genesishealth.com",
            "affiliation": "N",
            "endpointDescription": "Genesis Health Group Neurology Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "4700 E 56th St Ste 100",
            "city": "Davenport",
            "state": "IA",
            "country_code": "US",
            "postal_code": "528072904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.