KELSEY MESICK (NPI# 1952715948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952715948 |
| Entity Type | Individual |
| Full Name | KELSEY MESICK |
| Other Name | KELSEY NIELSEN |
| Credential | PA-C |
| Practice Address |
3385 Dexter Ct Ste 300 Davenport IA 52807-3471 |
| Practice Telephone | 5633449292 |
| Practice Fax Number | 5633449573 |
| Mailing Telephone | 5633449292 |
| Mailing Fax Number | 5633449573 |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2018-11-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
074048 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3385 DEXTER CT STE 300 |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52807-3471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770874034 | Megan Crosmer | Orthopaedic Surgery | 3385 Dexter Ct Ste 300, Davenport, IA 52807-3471 | 2011-04-21 |
| 1760969810 | Kelli Senseney | Nurse Practitioner | 3385 Dexter Ct Ste 300, Davenport, IA 52807-3471 | 2018-07-22 |
| 1841709060 | Daniel Thomas Barger | Physician Assistant | 3385 Dexter Ct Ste 300, Davenport, IA 52807-3471 | 2017-09-20 |
| 1578085429 | Christine Mitchell | Physician Assistant | 3385 Dexter Ct Ste 300, Davenport, IA 52807-3471 | 2017-07-12 |
| 1922475706 | Iowa Illinois Pain Consultants | Clinic/Center | 3385 Dexter Ct Ste 300, Davenport, IA 52807-3471 | 2015-08-27 |
| 1720402688 | Elizabeth Elander | Physician Assistant | 3385 Dexter Ct Ste 300, Davenport, IA 52807-3471 | 2014-02-13 |
| 1902190879 | Kristyn Marie Darmafall | Orthopaedic Surgery | 3385 Dexter Ct Ste 300, Davenport, IA 52807-3471 | 2011-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710455423 | Sarah Duvall | Pharmacist | 2790 East 53rd Street, Davenport, IA 52807 | 2018-11-12 |
| 1932686375 | Costco Wholesale Corporation | Hearing Aid Equipment | 2790 East 53rd St., Davenport, IA 52807 | 2018-07-27 |
| 1902258379 | Secure Dental II, LLC | Dentist | 5025 Utica Ridge Rd, Suite 103, Davenport, IA 52807 | 2016-07-08 |
| 1003288663 | Kristin Landram | Pharmacist | 4011 E 53rd Street, Davenport, IA 52807 | 2015-10-22 |
| 1912384918 | Toshia Johnson | Counselor | 3515 Spring Street, Davenport, IA 52807 | 2015-04-29 |
| 1366849440 | Dennis Aaron Brown | Counselor | 2322 E. Kimberly Rd., Ste. 200 N., Davenport, IA 52807 | 2014-12-04 |
| 1033514914 | Rachel J Staron | Counselor | 2028 E 38th St Ste 3-5, Davenport, IA 52807 | 2014-11-04 |
| 1447651518 | Anthony B. Dexter | Chiropractor | 2178 E Kimberly Rd Ste 400, Davenport, IA 52807 | 2014-09-09 |
| 1932517588 | Alan Christopher Rubach | Dentist | 3435 Spring St Ste 2, Davenport, IA 52807 | 2014-07-28 |
| 1851707459 | Allison Maxwell | Behavioral Analyst | 4959 Utica Ridge Rd, Davenport, IA 52807 | 2014-07-03 |
| Find all providers in zip 52807 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114403276 | Medvasive, LLC | Physician Assistant | 623 Loma Del Sol Dr, Davenport, FL 33896-6552 | 2018-07-12 |
| 1255639142 | Nicole Wilburn Stokes | Physician Assistant | 2231 North Blvd W, A, Davenport, FL 33837-8990 | 2011-03-02 |
| 1962737627 | Kari L Whitman | Physician Assistant | 40124 Highway 27, Ste. 101, Davenport, FL 33837 | 2009-10-13 |
| 1083684484 | Jennifer Tyler | Physician Assistant | 3385 Dexter Ct, Suite 300, Davenport, IA 52807-3471 | 2006-01-26 |
| 1558331942 | Patrick Sterbank | Physician Assistant | 3385 Dexter Ct, Suite 300, Davenport, IA 52807-3471 | 2006-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932607009 | Margaret Mary Storbakken | Physician Assistant | 200 Hawkins Dr Ste 1562, Iowa City, IA 52242-1009 | 2018-01-24 |
| 1710406590 | Jordan Lee Reiner | Physician Assistant | 12499 University Ave Ste 210, Clive, IA 50325-8288 | 2017-09-13 |
| 1053835256 | Linda Karina Garcia | Physician Assistant | 1410 N Fourth St, Clinton, IA 52732 | 2017-07-29 |
| 1629140041 | Joel E Rand | Physician Assistant | 411 Laurel St Ste 2100, Des Moines, IA 50314-3026 | 2006-11-14 |
| 1073511572 | Stephen Edward Gunn | Physician Assistant | 200 Hawkins Drive, Se 500 Gh, Iowa City, IA 52242 | 2005-07-08 |
| 1609473842 | Hannah Marissa Lester | Physician Assistant | 12499 University Ave Ste 210, Clive, IA 50325-8288 | 2020-10-01 |
| 1154937001 | Christopher Randall | Physician Assistant | 250 S Crescent Dr, Mason City, IA 50401-2926 | 2020-09-16 |
| 1114580495 | Amanda C Mcdonagh | Physician Assistant | 788 8th Ave Se Ste 300, Cedar Rapids, IA 52401-2106 | 2019-04-22 |
| 1184182305 | Ryan E Anderson | Physician Assistant | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2019-03-06 |
| 1760952238 | Kyle J Kroymann | Physician Assistant | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2018-11-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.