Active NPI
Melissa Dewitte Gonzalez, CRNA
- Certified Registered Nurse Anesthetist
- Iowa City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- D114972
- Practice address
- 200 Hawkins Dr
Iowa City, IA 52242-1009 - Phone
- (319) 356-2633
- Fax
- (319) 356-2940
- NPI assigned
- Mar 11, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 114972 | IA | |
| Certified Registered Nurse Anesthetist | 367500000X | D114972 | IA | Primary |
Addresses
Primary practice location
200 Hawkins Dr
Iowa City, IA 52242-1009
Mailing address
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-2633
Other practice location 1
701 W Forevergreen Rd
North Liberty, IA 52317-9848
Phone (319) 384-6562
Other names 1
- Melissa Dewitte Ferguson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110624000325 | IA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3971781824 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- State University of IowaJefferson County Hospital
Practice addresses (Care Compare)
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-1616
2000 S Main St
Fairfield, IA 52556-9572
Phone (641) 472-4111
Hospital & facility affiliations
- Jefferson County Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.02 of 100
- Quality
- 75.68
- Promoting interoperability
- 78
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114972 | IA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington County Hospital | Current | Accepting new patients | |
| Washington County Hospital | Current | Accepting new patients | |
| State University of Iowa | Current | Accepting new patients | |
| Jefferson County Hospital | Current | Accepting new patients | |
| Washington County Hospital | Current | Accepting new patients | |
| Washington County Hospital | Current | Accepting new patients | |
| Jefferson County Hospital | Current | Accepting new patients | |
| Jefferson County Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
2000 S Main St
Fairfield, IA 52556
Phone (641) 469-4204
200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616
200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616
701 W Forevergreen Rd
North Liberty, IA 52317
Phone (319) 356-2223
400 E Polk St
Washington, IA 52353
Phone (319) 653-5481
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/washin-6836dd27
- mgonzalez17113@uihcdirect.org
Organizations & group practices 30
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.
-
- Rural Health Clinic/Center
- Fairfield, IA
- NPI 1457728008
-
- Medicare Defined Swing Bed Hospital Unit
- Fairfield, IA
- NPI 1760581763
-
- Psychologist
- Iowa City, IA
- NPI 1073254181
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Washington, IA
- NPI 1093790578
-
- Community/Retail Pharmacy
- North Liberty, IA
- NPI 1114732559
-
- Pharmacy
- Riverside, IA
- NPI 1174845101
-
- Clinic Pharmacy
- Iowa City, IA
- NPI 1306304027
Hospital & facility affiliations 1
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": "1236729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743984000000",
"number": "1760623391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421009",
"telephone_number": "319-356-2633",
"fax_number": "319-356-2940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421009",
"telephone_number": "319-356-2633",
"fax_number": "319-356-2940"
}
],
"practiceLocations": [
{
"address_1": "701 W Forevergreen Rd",
"address_purpose": "LOCATION",
"city": "North Liberty",
"state": "IA",
"postal_code": "523179848",
"country_code": "US",
"telephone_number": "319-384-6562",
"fax_number": "319-356-3949",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ",
"first_name": "MELISSA",
"middle_name": "DEWITTE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-11",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IA",
"license": "114972",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IA",
"license": "D114972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "FERGUSON",
"middle_name": "DEWITTE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.