Individual provider Active NPI

Melissa Calhoun, APRN FNP-C

  • Family Nurse Practitioner
  • Lebanon, OH
National Provider Identifier
1043855661
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0028346 Issued in OH
Practice address
580 N St Route 741 Ste 100
Lebanon, OH 45036-6804
Phone
(513) 974-8320
NPI assigned
Nov 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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 APRN.CNP.0028346 OH Primary

Addresses

Primary practice location

580 N St Route 741 Ste 100
Lebanon, OH 45036-6804

Mailing address

402 Pleasant St
Lebanon, OH 45036-1847
Phone (937) 728-2673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20210217002448 OH Practitioner - Nurse Practitioner 7517372949 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Urgent Care, Inc.Group PAC ID 3870848088, 39 clinicians

Practice addresses (Care Compare)

8 Prestige Plaza Dr
Suite 107
Miamisburg, OH 45342-7304
Phone (937) 208-6871

Merit-based Incentive Payment System (MIPS)

Final score
88.63 of 100Reported as group
Quality
79.22
Promoting interoperability
100
Improvement activities
40
Cost
82.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0028346OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Urgent Care, Inc. CurrentSince Jul 18, 2021 Accepting new patients
CG Medical Associates Inc CurrentSince Feb 26, 2021 Accepting new patients
Uvpc Specialists Inc. PastSince Jul 18, 2021 Accepting new patients

Locations

7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100

580 N State Route 741
Ste 100
Lebanon, OH 45036
Phone (513) 974-8320

8 Prestige Plaza Dr
Ste 107
Miamisburg, OH 45342
Phone (937) 208-6871

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

540 W Central Ave
Springboro, OH 45066
Phone (513) 746-6000

752 N Main St
Springboro, OH 45066
Phone (937) 208-6865

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1043855661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 PLEASANT ST",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450361847",
            "telephone_number": "937-728-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 N ST ROUTE 741 STE 100",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450366804",
            "telephone_number": "513-974-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALHOUN",
        "first_name": "MELISSA",
        "credential": "APRN FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0028346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, OH

Sources for this page

Verify at the official NPI Registry.