Melissa Ann Deboer, ND, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

4704294771 Issued in MI

Practice address

1324 Lake Dr SE Ste 4
Grand Rapids, MI 49506-1673

Phone

(616) 293-3000

NPI assigned

Jul 31, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1753920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1063396331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 TARTAN WAY NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493419563",
            "telephone_number": "616-293-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 LAKE DR SE STE 4",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061673",
            "telephone_number": "616-293-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8201 Tartan Way NE",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "MI",
            "postal_code": "493419563",
            "country_code": "US",
            "telephone_number": "616-293-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEBOER",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "ND, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MI",
            "license": "4704294771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Deboer, LCSW
• Justin Michael Deboer
• Mackenzie Deboer, DPT, PT
• Madelyn Deboer, PTA
• Megan Amber Deboer, PMHNP-BC
• Mia Deboer, PHARMD
• Michael Robert Deboer
• Nicholas Deboer, LMSW
• Ronald Debose
• Tyler Debrot

• Community Health Registered Nurse in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Community Health Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.