Active NPI
Melanie D. Harrison, PA-C
- Physician Assistant
- Stillwater, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1815 W 6TH Ave
Stillwater, OK 74074-4202 - Phone
- (405) 743-7300
- NPI assigned
- Jan 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | OK | Primary |
Addresses
Primary practice location
1815 W 6TH Ave
Stillwater, OK 74074-4202
Mailing address
PO Box 720006
Norman, OK 73070-4006
Phone (405) 742-5288
Other names 1
- Melanie D. Moyer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
417 Fairview Ave
Ponca City, OK 74601-1923
Phone (580) 762-3770
518 E Lakeview Rd
Stillwater, OK 74075-2825
Phone (405) 533-8990
Hospital & facility affiliations
- Stillwater Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.91 of 100
- Quality
- 76.55
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1490 | OK | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stillwater Medical Center Authority | Physician Assistant | Current | Accepting new patients |
| Stillwater Medical Center Authority | Current | Accepting new patients | |
| Stillwater Medical Center Physicians | Past | Accepting new patients | |
| Orthooklahoma P C | Past | Accepting new patients | |
| Stillwater Medical Center Authority | Past | Accepting new patients | |
| Triad Complete Healthcare A06 LLC | Past | Accepting new patients | |
| Stillwater Orthopaedic Clinic Inc. | Past | Accepting new patients |
Locations
200 S Academy Rd
Guthrie, OK 73044
Phone (405) 260-4165
417 Fairview Ave
Ponca City, OK 74601
Phone (580) 762-3770
1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480
511 Windsor Dr
Stillwater, OK 74074
1815 W 6th Ave
Stillwater, OK 74074
Phone (405) 743-7300
Interoperability endpoints
- melanie.moyer.p1@direct.smc.nextgenshare.com
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Stillwater, OK
- NPI 1558377135
Physician Assistant
-
- General Practice Physician
- Ponca City, OK
- NPI 1285644153
-
- Family Medicine Physician
- Perry, OK
- NPI 1407729361
-
- Orthopaedic Surgery Physician
- Stillwater, OK
- NPI 1891855722
-
- General Acute Care Hospital
- Stillwater, OK
- NPI 1164494027
-
- Anesthesiology Physician
- Stillwater, OK
- NPI 1295859387
-
- Orthopaedic Surgery Physician
- Stillwater, OK
- NPI 1871616490
-
- Primary Care Clinic/Center
- Stillwater, OK
- NPI 1932809738
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stillwater, OK
- NPI 1164494027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482883200000",
"number": "1063483345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 720006",
"city": "NORMAN",
"state": "OK",
"postal_code": "730704006",
"telephone_number": "405-742-5288",
"fax_number": "405-533-2032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 W 6TH AVE",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740744202",
"telephone_number": "405-743-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "MELANIE",
"middle_name": "D.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-27",
"last_updated": "2016-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELANIE",
"last_name": "MOYER",
"middle_name": "D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Stillwater, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.