Individual provider Active NPI

Melisa Stacey Webb, NP

  • Family Nurse Practitioner
  • Idaho Falls, ID
National Provider Identifier
1043074537
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
64774 Issued in ID
Practice address
2725 Channing Way
Idaho Falls, ID 83404-7510
Phone
(208) 535-8448
NPI assigned
Feb 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 64774 ID Primary

Addresses

Primary practice location

2725 Channing Way
Idaho Falls, ID 83404-7510

Mailing address

1830 Viola Dr
Idaho Falls, ID 83401-6028
Phone (208) 497-9768

Other names 1

  • Melisa Harral Former name

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20240805001214 ID Practitioner - Nurse Practitioner 8325585607 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Finding Home Healthcare, Inc.Group PAC ID 7517248537, 17 clinicians

Practice addresses (Care Compare)

1675 E Riverside Dr
Suite 200
Eagle, ID 83616-7473
Phone (888) 253-6598

Hospital & facility affiliations

  • Symbii Home Health Home health agency, Chubbuck, ID, CCN 137110
  • Portneuf Medical Center Hospital, Pocatello, ID, CCN 130028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
64774IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Hospital LLC CurrentSince May 20, 2024 Accepting new patients
Finding Home Healthcare, Inc. CurrentSince Mar 3, 2025 Accepting new patients
Community Care Current Accepting new patients
Community Care Pocatello PLLC Current Accepting new patients
Community Care West Side LLC CurrentSince May 20, 2024 Accepting new patients
Finding Home Healthcare, Inc. CurrentSince Mar 3, 2025 Accepting new patients
CC Pocatello LLC CurrentSince May 20, 2024 Accepting new patients

Locations

1675 E Riverside Dr
Ste 200
Eagle, ID 83616
Phone (208) 401-1048

765 S Utah Ave
Idaho Falls, ID 83402
Phone (208) 525-2600

2725 Channing Way
Idaho Falls, ID 83404
Phone (208) 525-8448

2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686

1595 Yellowstone Ave
Pocatello, ID 83201
Phone (208) 233-0032

404 N 2nd E
Rexburg, ID 83440
Phone (208) 359-1770

167 E 1st S
Rigby, ID 83442
Phone (208) 745-8747

1916 N 700 W
Ste 110
Layton, UT 84041
Phone (801) 444-0221

Interoperability endpoints

  • Direct secure messaging: mwebb1262144@ahs.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1043074537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 VIOLA DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834016028",
            "telephone_number": "208-497-9768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 CHANNING WAY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047510",
            "telephone_number": "208-535-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "MELISA",
        "middle_name": "STACEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "64774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISA",
            "last_name": "HARRAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.