Melissa Anne Iversen, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

013123 Issued in NY

Practice address

21 N Main St
Middleport, NY 14105-1027

Phone

(716) 735-7774

Fax

(716) 735-3036

NPI assigned

Feb 2, 2009

Last updated

Aug 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medina Memorial Hospital Hospital, Medina, NY, CCN 331319

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: miversen@doctors.medentdirect.com

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.

• David Stahl, M.D.

  • Internal Medicine Physician
  • Middleport, NY
  • NPI 1255313391
  Medicare reassignment

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

• Orleans Community Health

  dba Medina Memorial Hospital

  • Critical Access Hospital
  • Medina, NY
  • NPI 1609873520
  Care Compare affiliation

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1679711428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 N MAIN ST",
            "city": "MIDDLEPORT",
            "state": "NY",
            "postal_code": "141051027",
            "telephone_number": "716-735-7774",
            "fax_number": "716-735-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N MAIN ST",
            "city": "MIDDLEPORT",
            "state": "NY",
            "postal_code": "141051027",
            "telephone_number": "716-735-7774",
            "fax_number": "716-735-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVERSEN",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-02",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "013123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Pearl Granzow, D.C
• Robin Lynn Hallows
• Rachel E Harrington, ED.M.
• Lisa Higgins
• Jamal Tariq Hussain, DPT
• Jamal Hussain DPT, P C
• Rebecca Lynn Klos, LPN
• Lindsey Landi, PHARMD
• Ryan Lindenau, PHARM D
• Ronald K. Miller, RPA-C

• Physician Assistant in Middleport, NY
• Providers in Middleport, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.