Individual provider Active NPI

Melinda C Hansen, MD

  • Obstetrics & Gynecology Physician
  • Clive, IA
National Provider Identifier
1831193374
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35284 Issued in IA
Practice address
12339 Stratford Dr
Clive, IA 50325-8148
Phone
(515) 263-9107
Fax
(515) 265-9888
NPI assigned
Jun 13, 2005
Last updated
Oct 31, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35284 IA Primary

Addresses

Primary practice location

12339 Stratford Dr
Clive, IA 50325-8148

Mailing address

12339 Stratford Dr
Clive, IA 50325-8148
Phone (515) 263-9107

Other identifiers 3

IdentifierTypeStateIssuer
09741OtherIAWELLMARK, ANKENY OFFICE
0415570MedicaidIA
35887OtherIAWELLMARK BLUE SHIELD

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040302001286 IA Practitioner - Obstetrics/Gynecology 9830086057 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Iowa, RJ & L Carver College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1200 Pleasant St
Des Moines, IA 50309-1406
Phone (515) 241-6212

12339 Stratford Dr
Clive, IA 50325-8148
Phone (515) 263-9107

1660 60TH St
West Des Moines, IA 50266-7700
Phone (515) 343-1000

30 E Hickman Rd
Family Med Waukee
Waukee, IA 50263-5011
Phone (515) 987-3447

40 E Hickman Rd
Pediatrics Waukee
Waukee, IA 50263-5011
Phone (515) 987-6610

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

50 E Hickman Rd
PT Waukee
Waukee, IA 50263-5011
Phone (515) 216-2999

700 E Uinversity Ave
Des Moines, IA 50316-2302

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35284IAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation Obstetrics & Gynecology CurrentSince Oct 2, 2017 Accepting new patients
Grinnell Regional Medical Center CurrentSince Feb 1, 2025 Accepting new patients
Central Iowa Hospital Corporation Past Accepting new patients
Central Iowa Hospital Corporation Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

12339 Stratford Dr
Clive, IA 50325
Phone (515) 263-9107

1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121

1212 Pleasant St
Ste 405
Des Moines, IA 50309
Phone (515) 241-4000

1301 Pennsylvania Ave
Ste 411
Des Moines, IA 50316
Phone (515) 263-2611

840 E University Ave
Des Moines, IA 50316
Phone (515) 265-4211

202 4th Ave
Ste 300
Grinnell, IA 50112
Phone (641) 236-2323

210 4th Ave
Grinnell, IA 50112
Phone (641) 236-2055

8101 Birchwood Ct
Unit R
Urbandale, IA 50131
Phone (515) 471-9363

40 E Hickman Rd
Waukee, IA 50263
Phone (515) 216-2918

1660 60th St
#M
West Des Moines, IA 50266
Phone (515) 343-1000

Interoperability endpoints

  • Direct secure messaging: mhansen9621@direct.unitypoint.org

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1831193374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12339 STRATFORD DR",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258148",
            "telephone_number": "515-263-9107",
            "fax_number": "515-265-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12339 STRATFORD DR",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258148",
            "telephone_number": "515-263-9107",
            "fax_number": "515-265-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "MELINDA",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": "35284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK, ANKENY OFFICE",
            "identifier": "09741",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0415570",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BLUE SHIELD",
            "identifier": "35887",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

Verify at the official NPI Registry.