Individual provider Active NPI

Melissa Burkle

  • Nurse Practitioner
  • Pleasant Valley, IA
National Provider Identifier
1710665278
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A174278 Issued in IA
Practice address
17990 Spencer Rd
Pleasant Valley, IA 52767-1205
Phone
(563) 332-4600
NPI assigned
Jul 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A174278 IA Primary

Addresses

Primary practice location

17990 Spencer Rd
Pleasant Valley, IA 52767-1205

Mailing address

2615 Sheffield Dr
Davenport, IA 52806-2620
Phone (563) 271-2450

Other practice location 1

1228 East Rusholme Street
Medical Office Building #1, 2nd Floor
Davenport, IA 52803
Phone (563) 421-3080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 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
I20230926001742 IA Practitioner - Nurse Practitioner 4880048735 Reassigns benefits to 4 organizations
I20260205002147 IL Practitioner - Nurse Practitioner 4880048735 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians

Practice addresses (Care Compare)

17990 Spencer Rd
Pleasant Valley, IA 52767-1205
Phone (563) 332-4600

Merit-based Incentive Payment System (MIPS)

Final score
34.85 of 100Reported as group
Quality
21.4
Improvement activities
0
Cost
76.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A174278IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health System CurrentSince Oct 6, 2023 Accepting new patients
Senf NP Family Medicine PLLC CurrentSince Dec 15, 2025 Accepting new patients
Healing Partners Plus PLLC CurrentSince Dec 17, 2025 Accepting new patients
Genesis Health System CurrentSince Oct 6, 2023 Accepting new patients
Theoria Medical Nurse Practitioner CurrentSince Apr 28, 2025 Accepting new patients
Complexcare Medical Group Midwest M PLLC Nurse Practitioner Past Accepting new patients

Locations (25 of 33)

1615 Breca Ridge Dr
Anamosa, IA 52205
Phone (319) 452-3070

5300 Grand Meadow Dr
Asbury, IA 52002
Phone (563) 557-7662

865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000

1228 E Rusholme St
Ste 2100
Davenport, IA 52803
Phone (563) 421-3200

4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667

1228 E Rusholme St
Ofc
Davenport, IA 52803
Phone (563) 421-3080

2001 1st Ave N
Estherville, IA 51334
Phone (712) 362-3594

1808 Main St
Gowrie, IA 50543
Phone (515) 352-3912

2121 Avenue L
Hawarden, IA 51023
Phone (712) 551-1074

1304 S Market St
Lake Park, IA 51347
Phone (712) 832-3691

2002 Cedar St
Muscatine, IA 52761
Phone (563) 263-2023

2625 Iowa St
Perry, IA 50220
Phone (515) 465-5349

506 E 4th St
Sutherland, IA 51058
Phone (712) 220-9241

601 E Polk St
Washington, IA 52353
Phone (319) 653-6526

2401 Des Moines St
Webster City, IA 50595
Phone (515) 832-2727

1503 42nd St
Ste 210
West Des Moines, IA 50266

1501 42nd St
West Des Moines, IA 50266
Phone (515) 333-9734

1901 N Roselle Rd
Ste 800
Schaumburg, IL 60195
Phone (847) 220-7603

401 E 20th St
Covington, KY 41014
Phone (859) 283-6600

3876 Turkeyfoot Rd
Erlanger, KY 41018
Phone (502) 525-6511

100 Carmel Manor Dr
Fort Thomas, KY 41075
Phone (859) 781-5111

2344 Amsterdam Rd
Villa Hills, KY 41017
Phone (859) 341-3981

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

33 Christian Ave
Concord, NH 03301
Phone (603) 224-5363

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1710665278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 SHEFFIELD DR",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528062620",
            "telephone_number": "563-271-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17990 SPENCER RD",
            "city": "PLEASANT VALLEY",
            "state": "IA",
            "postal_code": "527671205",
            "telephone_number": "563-332-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1228 East Rusholme Street",
            "address_2": "Medical Office Building #1, 2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "IA",
            "postal_code": "52803",
            "country_code": "US",
            "telephone_number": "563-421-3080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKLE",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-06",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A174278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Valley, IA

Sources for this page

Verify at the official NPI Registry.