Janene Misak, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

000687 Issued in IA

Practice address

3540 E 46TH St
Davenport, IA 52807-3403

Phone

(563) 742-5900

Fax

(563) 742-5980

NPI assigned

Feb 7, 2006

Last updated

Jul 13, 2026By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1881666394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 E 46TH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073403",
            "telephone_number": "563-742-5900",
            "fax_number": "563-742-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 E 46TH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073403",
            "telephone_number": "563-742-5900",
            "fax_number": "563-742-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISAK",
        "first_name": "JANENE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "000687",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "85-000564",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genevieve Millwood
• Mimi Lacouture PLLC
• Susan V Mina
• Janel Delyn Miner, CNM
• Heather Faye Mink, CNM
• Ashlee Misiag, ARNP
• Mississippi Medical Plaza, LC (Mississippi Valley Surgery Center)
• Mississippi Valley Bariatrics
• Mississippi Valley Imaging, LLC
• Mississippi Valley Laboratory, LLC

• Physician Assistant in Davenport, IA
• Providers in Davenport, IA by specialty
• Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.