Individual provider Active NPI

Melissa Christine Jarboe

  • Emergency Medicine Physician
  • Lansing, MI
National Provider Identifier
1053674762
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036152353 Issued in IL
Practice address
1215 E Michigan Ave
Lansing, MI 48912-1811
Phone
(517) 364-2583
NPI assigned
Jun 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5101019961 MI
Emergency Medicine Physician 207P00000X 65493 WI
Emergency Medicine Physician 207P00000X 036152353 IL Primary

Addresses

Primary practice location

1215 E Michigan Ave
Lansing, MI 48912-1811

Mailing address

1215 E Michigan Ave
Lansing, MI 48912-1811
Phone (231) 392-4564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL, MI3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160808001149 WI Practitioner - Emergency Medicine 6103110564 Reassigns benefits to 6 organizations
I20210316000619 IL Practitioner - Emergency Medicine 6103110564 Reassigns benefits to 1 organization
I20250314003287 MI Practitioner - Emergency Medicine 6103110564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Divine Savior Healthcare IncGroup PAC ID 5799684007, 135 clinicians

Practice addresses (Care Compare)

2817 New Pinery Rd
Portage, WI 53901-9240
Phone (608) 742-4131

Hospital & facility affiliations

  • Aspirus Divine Savior Hospital Hospital, Portage, WI, CCN 520041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036152353ILMDEmergency Medicine Physician
5101019961MIMDEmergency Medicine Physician
65493WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Inc CurrentSince May 15, 2020 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Jun 19, 2024 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Jul 4, 2024 Accepting new patients
DRS. Massaro & Kalenak S C Current Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince May 9, 2017 Accepting new patients
Swea Fort SC Emergency Medicine CurrentSince Nov 3, 2024 Accepting new patients
McLaren Hospital Group Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients
Divine Savior Healthcare, Inc. Emergency Medicine CurrentSince Jun 19, 2024 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince May 9, 2017 Accepting new patients
MCHS Hospitals Inc Emergency Medicine Current Accepting new patients
Cep America - Illinois, LLP Emergency Medicine CurrentSince Jul 4, 2024 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine Current Accepting new patients
Thedacare Medical Center - Waupaca, Inc. Current Accepting new patients
The Medical College of Wisconsin, Inc. Emergency Medicine Current Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

29980 Network Pl
Chicago, IL 60673

1800 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2729

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060

375 W River Woods Pkwy
Glendale, WI 53212
Phone (414) 326-1500

135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100

2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1405 Mill St
New London, WI 54961
Phone (920) 531-2000

N4390 Crossroads Clinic Rd
Oxford, WI 53952
Phone (608) 589-5181

2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

800 Riverside Dr
Waupaca, WI 54981
Phone (715) 258-1000

1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990

1700 W Paradise Dr
West Bend, WI 53095
Phone (262) 334-3451

Interoperability endpoints

  • Direct secure messaging: melissa.jarboe@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1053674762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 E MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121811",
            "telephone_number": "231-392-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 E MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121811",
            "telephone_number": "517-364-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARBOE",
        "first_name": "MELISSA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101019961",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "65493",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036152353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.