Individual provider Active NPI

Melinda Phyllis Danielson, ARNP

  • Family Nurse Practitioner
  • Keosauqua, IA
National Provider Identifier
1508380783
Registry record updated Jul 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A109267 Issued in IA
Practice address
304 Franklin St
Keosauqua, IA 52565-1164
Phone
(319) 293-3171
NPI assigned
Jul 31, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Van Buren County Hospital 33 clinicians

Practice addresses (Care Compare)

304 Franklin St
Keosauqua, IA 52565-1164
Phone (319) 293-3171

Hospital & facility affiliations

  • Van Buren County PHNS Home health agency, Keosauqua, IA, CCN 167111
  • Van Buren County Hospital Hospital, Keosauqua, IA, CCN 161337
  • Jefferson County Health Center Hospital, Fairfield, IA, CCN 161364

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
I20170922003076 IA Practitioner - Nurse Practitioner 2668746033 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A109267IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Van Buren County Hospital CurrentSince Sep 1, 2025 Accepting new patients
Van Buren County Hospital CurrentSince Oct 4, 2017 Accepting new patients
Van Buren County Hospital CurrentSince Oct 4, 2017 Accepting new patients
Van Buren County Hospital Past Accepting new patients

Locations

624 1st St
Bonaparte, IA 52620
Phone (319) 592-3168

304 Franklin St
Keosauqua, IA 52565
Phone (319) 293-3171

NPPES NPI Registry

Updated by the provider on Jul 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A109267 IA Primary

Addresses

Primary practice location

304 Franklin St
Keosauqua, IA 52565-1164

Mailing address

304 Franklin St
Keosauqua, IA 52565-1164

NPI Registry JSON

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501459200000",
    "number": "1508380783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 FRANKLIN ST",
            "city": "KEOSAUQUA",
            "state": "IA",
            "postal_code": "525651164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 FRANKLIN ST",
            "city": "KEOSAUQUA",
            "state": "IA",
            "postal_code": "525651164",
            "telephone_number": "319-293-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELSON",
        "first_name": "MELINDA",
        "middle_name": "PHYLLIS",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-31",
        "last_updated": "2017-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A109267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keosauqua, IA

Sources for this page

Verify at the official NPI Registry.