Melanie Jill Bebout, APRN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

1140598 Issued in TX

Practice address

4940 Goodman Ave Apt 3304
Addison, TX 75001-6627

Phone

(806) 626-8014

NPI assigned

Nov 2, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• VPS of Mi PLLC

  • Family Medicine Physician
  • Farmington Hills, MI
  • NPI 1164873691

  TX

  Medicare reassignment NPD
• Wellness and Wound Group a Professional Limited Liability Corporation

  • Clinic/Center
  • Lewisville, TX
  • NPI 1356117097

  TX

  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1013780980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 GOODMAN AVE APT 3304",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016627",
            "telephone_number": "806-626-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 GOODMAN AVE APT 3304",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016627",
            "telephone_number": "806-626-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEBOUT",
        "first_name": "MELANIE",
        "middle_name": "JILL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1140598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Rose Bateman
• Danielle Bayne, M.A., CCC-SLP
• Morena Bazan Ortiz
• Anna Beard
• Karla Teresa Beard, ANP
• Breck Beckner
• Kevin Bedford, DPT
• Derrick Javier Belan, DPT
• Anna Cecelia Belou
• Marty Neal Bennett, MD

• All providers in Addison, TX
• Primary Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.