Individual provider Active NPI

Melissa K Neymeyer, PA

  • Physician Assistant
  • Davenport, IA
National Provider Identifier
1194714386
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001054 Issued in IA
Practice address
1230 E Rusholme St Ste 303
Davenport, IA 52803-2400
Phone
(563) 383-2763
Fax
(563) 328-5500
NPI assigned
Oct 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001054 IA Primary

Addresses

Primary practice location

1230 E Rusholme St Ste 303
Davenport, IA 52803-2400

Mailing address

1230 E Rusholme St Ste 303
Davenport, IA 52803-2400
Phone (563) 383-2763

Other identifiers 1

IdentifierTypeStateIssuer
38087OtherBCBS

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address P.A.-NeymeyerM@genesishealth.com Direct
Direct Messaging Address Melissa.Neymeyer@direct.genesishealth.com Direct
Direct Messaging Address Melissa.Neymeyer@direct.genesishealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050405000421 IA Practitioner - Physician Assistant 7214984962 Reassigns benefits to 2 organizations
I20230302001134 IL Practitioner - Physician Assistant 7214984962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Iowa, RJ & L Carver College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Health SystemGroup PAC ID 6103829338, 262 clinicians
Mercy Specialty ClinicGroup PAC ID 3375639586, 65 clinicians

Practice addresses (Care Compare)

1227 E Rusholme St
Davenport, IA 52803-2459

1410 N 4TH St
Clinton, IA 52732-2940
Phone (563) 244-5900

4700 E 56TH St
Davenport, IA 52807-2904

915 13TH Ave N
Mercyone Clinton Plaza
Clinton, IA 52732-5067
Phone (563) 243-2511

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
82.54
Promoting interoperability
89.05
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001054IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health System CurrentSince Aug 10, 2009 Accepting new patients
Medical Associates of Clinton, Iowa P.L.C. Current Accepting new patients
Genesis Health System CurrentSince Aug 10, 2009 Accepting new patients
Mercy Specialty Clinic CurrentSince Apr 25, 2024 Accepting new patients
Mercy Specialty Clinic Past Accepting new patients
Quad City Neurosurgical Associates PC Past Accepting new patients

Locations

4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724

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

915 13th Ave N
Clinton, IA 52732
Phone (319) 243-2511

1410 N 4th St
Clinton, IA 52732
Phone (563) 244-5555

4334 E 53rd St
Davenport, IA 52807
Phone (563) 322-8877

1230 E Rusholme St
Ste 303
Davenport, IA 52803
Phone (563) 326-6273

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

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

1351 W Central Park Ave
Ste 4300
Davenport, IA 52804
Phone (319) 383-2763

801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000

Interoperability endpoints

  • Direct secure messaging: mneymeyer3929661@direct.trinity-health.org
  • Direct secure messaging: melissa.neymeyer@macmc.eclinicaldirectplus.com
  • Direct secure messaging: p.a.-neymeyerm@genesishealth.com
  • Direct secure messaging: melissa.neymeyer@direct.genesishealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1194714386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 E RUSHOLME ST STE 303",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032400",
            "telephone_number": "563-383-2763",
            "fax_number": "563-328-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 E RUSHOLME ST STE 303",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032400",
            "telephone_number": "563-383-2763",
            "fax_number": "563-328-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEYMEYER",
        "first_name": "MELISSA",
        "middle_name": "K",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "38087",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "P.A.-NeymeyerM@genesishealth.com",
            "affiliation": "N",
            "endpointDescription": "Genesis Health System Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1230 E Rusholme St Ste 303",
            "city": "Davenport",
            "state": "IA",
            "country_code": "US",
            "postal_code": "528032400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Melissa.Neymeyer@direct.genesishealth.com",
            "affiliation": "N",
            "endpointDescription": "Genesis Health System Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1230 E Rusholme St Ste 303",
            "city": "Davenport",
            "state": "IA",
            "country_code": "US",
            "postal_code": "528032400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Melissa.Neymeyer@direct.genesishealth.com",
            "affiliation": "N",
            "endpointDescription": "Genesis Health System Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1230 E Rusholme St Ste 303",
            "city": "Davenport",
            "state": "IA",
            "country_code": "US",
            "postal_code": "528032400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.