MELISSA L KEITH DNP
NPI 1992354799
Nurse Practitioner - Family in East Moline, IL

Q: What is Melissa Keith's NPI number?

The NPI number for Melissa Keith is 1992354799. It was assigned to this individual provider in the NPPES registry on September 5, 2019. The provider is also known as Melissa L Bradley.

Q: What is Melissa Keith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Keith was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 05, 2019PECOS EnrolledAccepts Medicare Assignment

708 15TH AVE, EAST MOLINE, IL 61244(563) 336-3000(563) 336-3212 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Sep 5, 2019 (2 updates tracked since 2019).

On this page

About Melissa L Keith Dnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA L KEITH DNP (NPI 1992354799) is an individual family provider in East Moline, Illinois, licensed in Iowa (A155669) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Genesis Hlth System Dba Genesis Mdl Ctr-illini, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2019).

NPPES Registry Identity

NPI1992354799

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMELISSA L KEITHCredential: DNP

Location Address708 15TH AVEEast Moline, IL 61244-2134

Mailing Address500 W River DrDavenport, IA 52801-1014 · (563) 336-3000 · Fax (563) 336-3125

Phone(563) 336-3000

Fax(563) 336-3212

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2019

Enumeration DateSeptember 5, 2019

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

NPPES CertifiedJuly 21, 2022

✔ NPI 1992354799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IA · A155669

708 15TH AVE, East Moline, IL 61244

Open in Google Maps ↗

Other Names 1

Former Name (1)Melissa L Bradley

Other Identifiers 2

MedicaidPENDINGIL

MedicaidPENDINGIA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Melissa L Keith Dnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335471085

PECOS Enrollment IDI20191029002764, I20191118000930

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Genesis Hlth System Dba Genesis Mdl Ctr-Illini

Acute Care Hospitals · Silvis, IL

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number140275

Location801 Illini DrSilvis, IL 61282 · Rock Island County

Emergency services Birthing friendly

Trinity Rock Island

Acute Care Hospitals · Rock Island, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140280

Location2701 17th StRock Island, IL 61201 · Rock Island County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61244 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers18 claims31 services$4.95 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMMUNITY HEALTH CARE, INC

Clinic/Center (Federally Qualified Health Center (FQHC))