Individual provider Active NPI

Melissa Bakaysa, D.C.

  • Chiropractor
  • Winston Salem, NC
National Provider Identifier
1033655261
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4719 Issued in NC
Practice address
1016 Burke St
Winston Salem, NC 27101-2413
Phone
(336) 281-2161
NPI assigned
Jan 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4719 NC Primary

Addresses

Primary practice location

1016 Burke St
Winston Salem, NC 27101-2413

Mailing address

1016 Burke St
Winston Salem, NC 27101-2413
Phone (636) 795-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200423002570 NC Practitioner - Chiropractic 1759663099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mueller Bakaysa Chiropractic PLLCGroup PAC ID 0143616243, 3 clinicians

Practice addresses (Care Compare)

1016 Burke St
Winston Salem, NC 27101-2413
Phone (336) 281-2161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4719NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mueller Bakaysa Chiropractic, PLLC Chiropractor CurrentSince Feb 1, 2022 Accepting new patients

Locations

1016 Burke St
Winston Salem, NC 27101
Phone (336) 281-2161

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1033655261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 BURKE ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012413",
            "telephone_number": "636-795-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 BURKE ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012413",
            "telephone_number": "336-281-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKAYSA",
        "first_name": "MELISSA",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-11",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.