Individual provider Active NPI

Melissa Ann Lipovac, DNP ARNP FNP-BC

  • Family Nurse Practitioner
  • Des Moines, IA
National Provider Identifier
1336554286
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A117420 Issued in IA
Practice address
1221 Pleasant St
Suite 410
Des Moines, IA 50309-1423
Phone
(515) 241-4607
Fax
(515) 241-4633
NPI assigned
Jun 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 117420 IA
Family Nurse Practitioner 363LF0000X A117420 IA Primary

Addresses

Primary practice location

1221 Pleasant St
Suite 410
Des Moines, IA 50309-1423

Mailing address

1221 Pleasant St
Suite 410
Des Moines, IA 50309-1423
Phone (515) 241-4607

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140820001917 IA Practitioner - Nurse Practitioner 8224256086 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
117420IAMDRegistered Nurse
A117420IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Central Iowa Hospital Corporation Family Current Accepting new patients
Central Iowa Hospital Corporation CurrentSince Jun 30, 2021 Accepting new patients

Locations

1215 Pleasant St
Ste 300
Des Moines, IA 50309
Phone (515) 241-6178

1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926

1212 Pleasant St
Ste 300
Des Moines, IA 50309
Phone (515) 241-6000

1221 Pleasant St
Ste 410
Des Moines, IA 50309
Phone (515) 241-4607

Interoperability endpoints

  • Direct secure messaging: mlipovac21514@direct.unitypoint.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1404000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1336554286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 PLEASANT ST",
            "address_2": "SUITE 410",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091423",
            "telephone_number": "515-241-4607",
            "fax_number": "515-241-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 PLEASANT ST",
            "address_2": "SUITE 410",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091423",
            "telephone_number": "515-241-4607",
            "fax_number": "515-241-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPOVAC",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "DNP ARNP FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-29",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "117420",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A117420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.