MS. MELISSA J PHILLIPS (A.R.N.P.) – Nurse Practitioner, NPI 1093702490

MS. MELISSA J PHILLIPS (A.R.N.P.) is a healthcare provider. based in West des moines, Iowa. specializing in NURSE PRACTITIONER. They hold the professional credentials A.R.N.P.. They hold a License No. F-097981 (IA). The NPI Number for MS. MELISSA J PHILLIPS (A.R.N.P.) is 1093702490

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
MS. MELISSA J PHILLIPS (A.R.N.P.)
NPI
1093702490
Phone
(515) 875-9925
Address
7147 VISTA DR STE 150
Enumeration Date
30 September 2005
Last Update Date
11 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5158759100
Graduation Year
2000 (26 years ago)
PAC ID
6800938655
Group Practice PAC ID
4082513742
Professional Enrollment ID
I20100118000077
Address ID
IA502668231WE5950XAVEX301

Contacts

Secure Messaging
melissaphillips@tic.allscriptsdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

3,529 NURSE PRACTITIONER in IA

Provider Addresses for MS. MELISSA J PHILLIPS (A.R.N.P.)

  • 7147 VISTA DR STE 150

    WEST DES MOINES, IA 502669313

    Phone: (515) 875-9925

    Fax: (515) 875-9923

    Type: Mailing

  • 5950 UNIVERSITY AVE STE 205

    WEST DES MOINES, IA 50266

    Phone: (515) 875-9290

    Fax: (515) 875-9291

    Type: Location

  • PO BOX 424

    DES MOINES, IA 503020424

    Phone: (515) 875-9255

    Fax: (515) 875-9223

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-01-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100118000077INurse PractitionerIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination3131$0
99213Established patient office or other outpatient visit, 20-29 minutes2019$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory1111$0
View full utilization report →

Insurance plans in this area (ZIP 50266)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082513742View full group profile
NameSpecialtyState
Family PracticeIA
Nurse PractitionerIA
P O D I A T R YIA
Internal MedicineIA
Family PracticeIA
-IA
Family PracticeIA
Orthopedic SurgeryMO
Internal MedicineIA
Family PracticeIA

Reviews

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Frequently asked questions

How do I look up MS. MELISSA J PHILLIPS (A.R.N.P.) by NPI?
Use NPI 1093702490 when you need to reference MS. MELISSA J PHILLIPS (A.R.N.P.) in forms, claims, or directories.
Is MS. MELISSA J PHILLIPS (A.R.N.P.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MS. MELISSA J PHILLIPS (A.R.N.P.) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for MS. MELISSA J PHILLIPS (A.R.N.P.). Clinical services aligned with this taxonomy classification.
Where does public data place MS. MELISSA J PHILLIPS (A.R.N.P.)?
The snapshot lists West Des Moines, Iowa for MS. MELISSA J PHILLIPS (A.R.N.P.); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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