Renee Messerly, MSPAS, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

074062 Issued in IA

Practice address

720 Pacha Pkwy
Suite 1
North Liberty, IA 52317-4797

Phone

(319) 384-8801

NPI assigned

Aug 16, 2013

Last updated

Jul 18, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500336000000",
    "number": "1265865943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 DELHI ST",
            "address_2": "STE 100",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016320",
            "telephone_number": "563-589-4066",
            "fax_number": "563-589-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 PACHA PKWY",
            "address_2": "SUITE 1",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523174797",
            "telephone_number": "319-384-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSERLY",
        "first_name": "RENEE",
        "credential": "MSPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-16",
        "last_updated": "2017-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "074062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne Lyn Melick-Shield, LISW, CADC
• Sarah Menzel, MPPD, RD, CSO, LD
• Mercy Physician Associates, Inc (Mercy Care North Liberty)
• Mercy Physician Associates, Inc (MercyCare North Liberty Urgent Care)
• Robert J Mesch, DC
• Nyamuoch Ruach Miak
• Keith Walter Michael, MD
• Bradley Keith Michelson, OTR
• Emily Rae Michener, LMHC
• Zachary Mickelson, LMSW

• Physician Assistant in North Liberty, IA
• Providers in North Liberty, IA by specialty
• Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.