Active NPI
Melissa Gail Kilcrease
- Family Nurse Practitioner
- Flomaton, AL
National Provider Identifier
1023596871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-101444
- Practice address
- 174 Highway 113
Flomaton, AL 36441-4556 - Phone
- (251) 296-2456
- Fax
- (251) 296-2400
- NPI assigned
- Aug 3, 2018
- Last updated
- Mar 7, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-101444 | AL | Primary |
Addresses
Primary practice location
174 Highway 113
Flomaton, AL 36441-4556
Mailing address
78 Bryan LN
Brewton, AL 36426-3432
Phone (251) 363-0154
Other practice location 1
1123 Belleville Ave
Brewton, AL 36426-1505
Phone (251) 867-6071
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mkilcrease@echca.cernerdirect.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- D.W. McMillan Memorial Hospital
Practice addresses (Care Compare)
174 Hwy 113
Flomaton, AL 36441-4556
Phone (251) 296-2456
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brewton Medical Center, LLC | Current | Accepting new patients | |
| D.W. McMillan Memorial Hospital | Current | Accepting new patients | |
| D.W. McMillan Memorial Hospital | Current | Accepting new patients | |
| DW McMillan Surgical Group LLC | Past | Accepting new patients | |
| Surgical Associates of South Alabama, PC | Past | Accepting new patients |
Locations
1121 Belleville Ave
Brewton, AL 36426
Phone (251) 809-3180
1301 Belleville Ave
Brewton, AL 36426
Phone (251) 809-8439
174 Highway 113
Flomaton, AL 36441
Phone (251) 296-2456
Interoperability endpoints
- mkilcrease@echca.cernerdirect.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Flomaton Medical Center
- Rural Health Clinic/Center
- Flomaton, AL
- NPI 1497852735
-
dba D W McMillan Medical Center
- Multi-Specialty Clinic/Center
- Brewton, AL
- NPI 1679196927
-
- Family Medicine Physician
- Brewton, AL
- NPI 1336196856
-
- Surgery Physician
- Brewton, AL
- NPI 1093304644
-
- Surgery Physician
- Brewton, AL
- NPI 1982660536
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adoration Home Health
- Home Health Agency
- Brewton, AL
- NPI 1356309520
-
- General Acute Care Hospital
- Brewton, AL
- NPI 1609811538
-
- Critical Access Hospital
- Jay, FL
- NPI 1912918277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709769600000",
"number": "1023596871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 BRYAN LN",
"city": "BREWTON",
"state": "AL",
"postal_code": "364263432",
"telephone_number": "251-363-0154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "174 HIGHWAY 113",
"city": "FLOMATON",
"state": "AL",
"postal_code": "364414556",
"telephone_number": "251-296-2456",
"fax_number": "251-296-2400"
}
],
"practiceLocations": [
{
"address_1": "1123 Belleville Ave",
"address_purpose": "LOCATION",
"city": "Brewton",
"state": "AL",
"postal_code": "364261505",
"country_code": "US",
"telephone_number": "251-867-6071",
"fax_number": "251-867-5999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KILCREASE",
"first_name": "MELISSA",
"middle_name": "GAIL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-03",
"last_updated": "2024-03-07",
"certification_date": "2024-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-101444",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mkilcrease@echca.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "Secure Email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "174 Highway 113",
"city": "Flomaton",
"state": "AL",
"country_code": "US",
"postal_code": "364414556",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Flomaton, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.