Melissa Marie Fagan, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A080649 Issued in IA

Practice address

202 10TH Street SE
Cedar Rapids, IA 52403-2404

Phone

(319) 398-1545

Fax

(319) 399-2039

NPI assigned

Mar 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Merit-based Incentive Payment System (MIPS)

Final score

83.5 of 100Reported as group

Quality

68.67

Promoting interoperability

100

Improvement activities

40

Cost

76.34

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JIJCBD
• Direct secure messaging: melissa.fagan@pciowa.eclinicaldirectplus.com

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.

• Physicians Clinic of Iowa, PC

  • Specialty Pharmacy
  • Cedar Rapids, IA
  • NPI 1295064111
  NPD
• Physicians' Clinic of Iowa, PC

  • Surgery Physician
  • Cedar Rapids, IA
  • NPI 1821075599
  NPD
• Physicians' Clinic of Iowa, PC

  • Radiology Clinic/Center
  • Cedar Rapids, IA
  • NPI 1861737710
  NPD
• Linn County Emergency Medicine PC

  • Emergency Medicine Physician
  • Cedar Rapids, IA
  • NPI 1679521124
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1194842849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3178",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524063178",
            "telephone_number": "319-398-1583",
            "fax_number": "319-399-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 10TH STREET SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032404",
            "telephone_number": "319-398-1545",
            "fax_number": "319-399-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGAN",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "IA",
            "license": "A080649",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A080649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melissa.fagan@pciowa.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "202 10th Street SE",
            "city": "Cedar Rapids",
            "state": "IA",
            "country_code": "US",
            "postal_code": "524032404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary Eyanson, MD
• Steven Eyanson, MD
• Blake Eyberg, MD
• Eyemart Express LLC
• Eyemart Express LTD
• Faithful Care Transport, LLC
• Family Chiropractic Wellness Center, Inc.
• Family Dental Care Associates PLC
• Family Foot Care Center, PLC
• Family Foot Care Clinic, PC

• Family Nurse Practitioner in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.