Melissa Boncher, MS RD CD
Individual provider Active NPI Registered Dietitian · Mount Pleasant, IA
NPI 1487045910 · NPPES record last updated Oct 6, 2016
Key facts
- NPI
- 1487045910
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 2715-29 (WI)
- Practice address
- 1700 E Washington St
Mount Pleasant, IA 52641-3210 - Phone
- (319) 385-2266
- NPI assigned
- Feb 5, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- City of Hope Medical Group of Arizona LLC
City of Hope Medical Group of Illinois PLLC
City of Hope Medical Group of Georgia LLC
Practice addresses (Care Compare)
14200 W Celebrate Life Way
Goodyear, AZ 85338-3007
Phone (623) 207-3000
2520 Elisha Ave
Zion, IL 60099-2676
Phone (847) 872-4561
600 Celebrate Life Pkwy
Newnan, GA 30265-8001
Phone (770) 400-6080
Hospital & facility affiliations
- Midwestern Region Med Center, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.52 of 100
- Quality
- 66.08
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 58.3
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.5 of 100
- Quality
- 74.24
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 66.56
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.74 of 100
- Quality
- 63.81
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 57.71
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in AZ, GA, IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240301003804 | AZ | Practitioner - Registered Dietitian Or Nutrition Professional | 8628394038 | Reassigns benefits to 1 organization |
| I20240308002033 | GA | Practitioner - Registered Dietitian Or Nutrition Professional | 8628394038 | Reassigns benefits to 1 organization |
| I20240405002841 | IL | Practitioner - Registered Dietitian Or Nutrition Professional | 8628394038 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Hope Medical Group of Georgia LLC | Current |
Accepting new patients | |
| City of Hope Medical Group of Arizona LLC | Current |
Accepting new patients | |
| City of Hope Medical Group of Illinois PLLC | Current |
Accepting new patients |
Locations
14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000
600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334
6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542
62742 Collections Ctr Dr
Chicago, IL 60693
2361 Paysphere Cir
Chicago, IL 60674
Phone (847) 746-4358
2520 Elisha Ave
Zion, IL 60099
Phone (800) 322-9183
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2715-29 | WI | Yes |
Addresses
Primary practice location
1700 E Washington St
Mount Pleasant, IA 52641-3210
Mailing address
1700 E Washington St
Mount Pleasant, IA 52641-3210
Phone (319) 385-2266
Other providers in Mount Pleasant, IA
- Thomas Bainbridge
- Jayant V Belsare
- John P Bennett
- Erin Katherine Bietz
- Mitchell Boeck
- Kendra M Bonnesen
- Mandy Borchers
- Reed Munro Bouchey
- Lois Maxine Braun
- Cherie Brown
All providers in Mount Pleasant, IA · Registered Dietitian in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.