Individual provider Active NPI

Melanie Decock Wilson, P.A.

  • Physician Assistant
  • Clinton, IA
National Provider Identifier
1467556787
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
002436 Issued in IA
Practice address
2900 S 25TH St Ste B2
Clinton, IA 52732-7250
Phone
(563) 519-8120
NPI assigned
Sep 8, 2006
Last updated
Mar 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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 002436 IA Primary

Addresses

Primary practice location

2900 S 25TH St Ste B2
Clinton, IA 52732-7250

Mailing address

2900 S 25TH St Ste B2
Clinton, IA 52732-7250
Phone (563) 519-8120

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
I20131216001812 IA Practitioner - Physician Assistant 8921904434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ora Orthopedics PCGroup PAC ID 6406741784, 119 clinicians

Practice addresses (Care Compare)

2900 S 25TH St
Suite B2
Clinton, IA 52732-7250
Phone (563) 322-0971

5250 Competition Dr
Suite 100
Bettendorf, IA 52722-8837
Phone (563) 322-0971

6101 Northwest Blvd
Davenport, IA 52806-1861
Phone (563) 322-0971

900 14TH St
De Witt, IA 52742-1004
Phone (563) 659-9131

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ora Orthopedics, PC CurrentSince May 1, 2016 Accepting new patients
Ora Orthopedics, PC Past Accepting new patients

Locations

2300 53rd Ave
Ste 100
Bettendorf, IA 52722
Phone (563) 459-4005

2300 53rd Ave
Ste LL01
Bettendorf, IA 52722
Phone (563) 441-7608

2900 S 25th St
Ste B2
Clinton, IA 52732
Phone (563) 278-8830

1414 W Lombard St
Davenport, IA 52804
Phone (563) 326-6431

6101 Northwest Blvd
Davenport, IA 52806
Phone (563) 449-7004

900 14th St
De Witt, IA 52742
Phone (563) 659-1579

3426 N Port Dr
Ste 400
Muscatine, IA 52761
Phone (563) 264-9185

Interoperability endpoints

  • Direct secure messaging: mwilson@ora2099.srs-direct.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1467556787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 S 25TH ST STE B2",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527327250",
            "telephone_number": "563-519-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S 25TH ST STE B2",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527327250",
            "telephone_number": "563-519-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MELANIE",
        "middle_name": "DECOCK",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-08",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "002436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IA

Sources for this page

Verify at the official NPI Registry.