Melinda Sue Allison, APN
Individual provider Active NPI Acute Care Nurse Practitioner · Moline, IL
NPI 1902201791 · NPPES record last updated Oct 30, 2024
Key facts
- NPI
- 1902201791
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 209011846 (IL)
- Practice address
- 1100 36TH Ave
Moline, IL 61265-7127 - Phone
- (309) 743-6700
- Fax
- (309) 764-2042
- NPI assigned
- Oct 23, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141213000048 | IL | Practitioner - Nurse Practitioner | 3375865702 | Reassigns benefits to 1 organization |
| I20230202002802 | IA | Practitioner - Nurse Practitioner | 3375865702 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiovascular Medicine PLLC | Current |
Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Trinity Medical Center | Current | Accepting new patients | |
| Trinity Medical Center | Current |
Accepting new patients |
Locations
4480 Utica Ridge Rd
Ste 2240
Bettendorf, IA 52722
Phone (563) 344-9292
4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724
1236 E Rusholme St
Ste 300
Davenport, IA 52803
Phone (319) 324-2992
1100 36th Ave
Moline, IL 61265
Phone (309) 743-6700
2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200
2560 24th St
Ste 201
Rock Island, IL 61201
Phone (309) 779-3111
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- mallison97398@direct.unitypoint.org
- mallison198409@direct.edward.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 209011846 | IL | Yes |
Addresses
Primary practice location
1100 36TH Ave
Moline, IL 61265-7127
Mailing address
1100 36TH Ave
Moline, IL 61265-7127
Phone (309) 743-6700
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | melinda.allisonapn.p1@direct.cvmedpc.nextgenshare.com |
Other providers in Moline, IL
- Rajesh Alla
- Suresh Alla
- Venkateswararao Alla
- Angela Mecagni Allen
- Lawrence W Allen
- Allure of the Quad Cities, LLC
- Stacy L. Almanza
- Alternative Energy Builders
- Alternatives for the Older Adult, Inc
- America'S Best Contacts & Eyeglasses
All providers in Moline, IL · Acute Care Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.