Individual provider Active NPI

Melanie Linn Spencer, PA

  • Medical Physician Assistant
  • Ames, IA
National Provider Identifier
1932199080
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
001669 Issued in IA
Practice address
2605 Northridge Pkwy
Ames, IA 50010-4065
Phone
(515) 292-4845
Fax
(515) 303-2291
NPI assigned
Oct 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 001669 IA Primary

Addresses

Primary practice location

2605 Northridge Pkwy
Ames, IA 50010-4065

Mailing address

2605 Northridge Pkwy
Ames, IA 50010-4065
Phone (515) 292-4845

Other practice location 1

1316 S Main St
Emergency Department
Clarion, IA 50525-2019
Phone (515) 532-2811 ext. 9261

Other identifiers 11

IdentifierTypeStateIssuer
29352OtherIAWMC-BCBS ER
0424507MedicaidIA
0293522MedicaidIA
0655001MedicaidIA
33444OtherIAWMC FPC-BCBS
66046OtherIAWMC BCBS SNF
0635011MedicaidIA
0283465MedicaidIA
0600460MedicaidIA
36174OtherIAWMC-BCBS DME
60046OtherIAWMC BCBS

Other names 1

  • Melanie Linn Whitehill Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240312002304 IA Practitioner - Physician Assistant 3971520552 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Primelife, LLC CurrentSince Dec 6, 2022 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

2610 Northridge Pkwy
Ste 103
Ames, IA 50010
Phone (515) 292-4845

1415 Superior St
Webster City, IA 50595
Phone (515) 297-2837

Organizations & group practices 4

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": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1932199080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 NORTHRIDGE PKWY",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500104065",
            "telephone_number": "515-292-4845",
            "fax_number": "515-303-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 NORTHRIDGE PKWY",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500104065",
            "telephone_number": "515-292-4845",
            "fax_number": "515-303-2291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1316 S Main St",
            "address_2": "Emergency Department",
            "address_purpose": "LOCATION",
            "city": "Clarion",
            "state": "IA",
            "postal_code": "505252019",
            "country_code": "US",
            "telephone_number": "515-532-2811 x9261",
            "fax_number": "515-532-9233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "MELANIE",
        "middle_name": "LINN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-28",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "001669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WMC-BCBS ER",
            "identifier": "29352",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0424507",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0293522",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0655001",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WMC FPC-BCBS",
            "identifier": "33444",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WMC BCBS SNF",
            "identifier": "66046",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0635011",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0283465",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0600460",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WMC-BCBS DME",
            "identifier": "36174",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WMC BCBS",
            "identifier": "60046",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "WHITEHILL",
            "middle_name": "LINN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ames, IA

Sources for this page

Verify at the official NPI Registry.