Individual provider Active NPI

Melissa Marie Meyer

  • Family Nurse Practitioner
  • Calmar, IA
National Provider Identifier
1477073252
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A110486 Issued in IA
Practice address
106 E Main St
Calmar, IA 52132-7743
Phone
(563) 562-2600
NPI assigned
Jun 22, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 110486 IA
Family Nurse Practitioner 363LF0000X 7742 WI
Family Nurse Practitioner 363LF0000X A110486 IA Primary

Addresses

Primary practice location

106 E Main St
Calmar, IA 52132-7743

Mailing address

1836 South Ave
La Crosse, WI 54601-5429
Phone (608) 782-7300

Other practice location 1

1836 South Ave
LA Crosse, WI 54601-5429
Phone (608) 782-7300

Other names 1

  • Melissa Marie Willis/Hoskinson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171013002557 WI Practitioner - Nurse Practitioner 0941575104 Reassigns benefits to 2 organizations
I20200421001806 IA Practitioner - Nurse Practitioner 0941575104 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2996 7TH Ave
Suite B
Marion, IA 52302-3713
Phone (319) 377-4844

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7742WIMDProfessional Counselor
110486IAMDFamily Nurse Practitioner
A110486IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gundersen Lutheran Express Care, Inc CurrentSince Aug 1, 2019 Accepting new patients
Gundersen Regional Clinics LLC CurrentSince Oct 1, 2023 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Oct 23, 2023 Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Sep 25, 2017 Accepting new patients
Gundersen Regional Clinics, LLC CurrentSince Oct 1, 2023 Accepting new patients
Gundersen Clinic LTD CurrentSince Aug 1, 2019 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Sep 25, 2017 Accepting new patients
Palmer Lutheran Health Center, Inc. CurrentSince Aug 2, 2020 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

1830 State Highway 9
Ste 100
Decorah, IA 52101
Phone (563) 382-3140

2996 7th Ave
Ste B
Marion, IA 52302
Phone (319) 377-4844

112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

1600 Main St
Onalaska, WI 54650
Phone (608) 783-4681

3111 Gundersen Dr
Onalaska, WI 54650
Phone (608) 775-8100

Interoperability endpoints

  • Direct secure messaging: mmeyer1008079@direct.unitypoint.org
  • Direct secure messaging: mmeyer278920@direct.emplifyhealth.org

Organizations & group practices 11

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 3

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": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1477073252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E MAIN ST",
            "city": "CALMAR",
            "state": "IA",
            "postal_code": "521327743",
            "telephone_number": "563-562-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1836 South Ave",
            "address_purpose": "LOCATION",
            "city": "LA Crosse",
            "state": "WI",
            "postal_code": "546015429",
            "country_code": "US",
            "telephone_number": "608-782-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYER",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2022-07-21",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "110486",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "7742",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A110486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "WILLIS/HOSKINSON",
            "middle_name": "MARIE",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Calmar, IA

Sources for this page

Verify at the official NPI Registry.