Melissa Lynn Jobgen, ARNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

C-102201 Issued in IA

Practice address

5510 Utica Ridge Rd Ste 100
Davenport, IA 52807-2935

Phone

(563) 424-2025

Fax

(563) 424-2042

NPI assigned

Jan 22, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Growing With You Pediatrics

  • Primary Care Nurse Practitioner
  • Bettendorf, IA
  • NPI 1770365843

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1205074713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 UTICA RIDGE RD STE 100",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072935",
            "telephone_number": "563-424-2025",
            "fax_number": "563-424-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 UTICA RIDGE RD STE 100",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072935",
            "telephone_number": "563-424-2025",
            "fax_number": "563-424-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOBGEN",
        "first_name": "MELISSA",
        "middle_name": "LYNN",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-22",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IA",
            "license": "C-102201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1100782",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jestel Health Services, Inc.
• Jillyn Kaufman, PLC
• JMJ3 Heritage, L.L.C.
• Jmwellness PLLC
• Joann C Milani, PH.D. P.C
• Carlie Marie Johanningmeier
• John C Hubner DDS
• Johnson Chiropractic & Sports Injury, PC
• Alyssa Johnson
• Barbara J Johnson, LISW

• Pediatric Nurse Practitioner in Davenport, IA
• Providers in Davenport, IA by specialty
• Pediatric Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.