NPIMap

Individual provider Active NPI

Melissa Elvira Ramirez, MSN, FNP-C

  • Family Nurse Practitioner
  • Peru, IL
National Provider Identifier
1043943830
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F06220105 Issued in IL
Practice address
1650 Midtown Rd
Peru, IL 61354-1200
Phone
(815) 223-6843
NPI assigned
Jul 8, 2022
Last updated
May 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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 F06220105 IL Primary

Addresses

Primary practice location

1650 Midtown Rd
Peru, IL 61354-1200

Mailing address

1650 Midtown Rd
Peru, IL 61354-1200
Phone (815) 252-6907

Other names 1

  • Melissa Elvira Mata Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230208002099 IL Practitioner - Nurse Practitioner 1254703887 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mendota Community HospitalGroup PAC ID 2264335777, 51 clinicians

Practice addresses (Care Compare)

1650 Midtown Rd
Peru, IL 61354-1200
Phone (815) 538-1351

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
F06220105ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint James Hospital CurrentSince Jun 21, 2023 Accepting new patients
Mendota Community Hospital CurrentSince Jun 21, 2023 Accepting new patients
Ottawa Regional Hospital & Healthcare Center Current Accepting new patients
Mendota Community Hospital CurrentSince Jun 21, 2023 Accepting new patients
Osf Healthcare System CurrentSince Jun 21, 2023 Accepting new patients
Osf Healthcare System CurrentSince Jun 21, 2023 Accepting new patients
Ottawa Regional Hospital & Healthcare Center CurrentSince Jun 21, 2023 Accepting new patients
Osf Healthcare System Current Accepting new patients
Saint James Hospital CurrentSince Jun 21, 2023 Accepting new patients
Saint James Hospital Past Accepting new patients
Ottawa Regional Hospital & Healthcare Center Past Accepting new patients
Osf Healthcare System Past Accepting new patients
Osf Multi-Specialty Group Past Accepting new patients

Locations

1404 Washington St
Mendota, IL 61342
Phone (815) 538-1825

1405 E 12th St
Ste 600
Mendota, IL 61342
Phone (815) 538-7200

1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414

1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224

1640 1st Ave
Ottawa, IL 61350
Phone (815) 431-9208

1650 Midtown Rd
Peru, IL 61354
Phone (815) 220-1122

535 Park Ave E
Princeton, IL 61356
Phone (815) 875-4531

600 E 1st St
Spring Valley, IL 61362
Phone (815) 664-1477

111 Spring St
Fl 4
Streator, IL 61364
Phone (815) 672-4587

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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": "1657238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1043943830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 MIDTOWN RD",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613541200",
            "telephone_number": "815-252-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 MIDTOWN RD",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613541200",
            "telephone_number": "815-223-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "MELISSA",
        "middle_name": "ELVIRA",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-08",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "F06220105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "MATA",
            "middle_name": "ELVIRA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Peru, IL

Sources for this page

Verify at the official NPI Registry.