Tiffany Ann Melberg, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R30057 Issued in ND

Practice address

1830 E Century Ave Unit 1
Bismarck, ND 58503-0639

Phone

(701) 751-0699

Fax

(701) 401-0299

NPI assigned

Jan 6, 2012

Sex

Female

Sole proprietor

No

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

Enrolled in ND

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

Specialty

Nurse Practitioner

Education

University of North Dakota School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Evolve Mental Health, PLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bismarck, ND
  • NPI 1912718321
  Medicare reassignment NPD Authorized official
• Bismarck Eyecare, P.C.

  • Optometrist
  • Bismarck, ND
  • NPI 1396988010
  NPD

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1063782126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 E CENTURY AVE UNIT 1",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030639",
            "telephone_number": "701-339-0300",
            "fax_number": "701-401-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 E CENTURY AVE UNIT 1",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030639",
            "telephone_number": "701-751-0699",
            "fax_number": "701-401-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELBERG",
        "first_name": "TIFFANY",
        "middle_name": "ANN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-06",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ND",
            "license": "R30057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee Marie Meier, LSW
• Conni Meier
• Dawn M Meier, NP
• Gerry Meier, OTR L
• Hannah Meier, PT, DPT, ATC
• Diane Melby, QSP
• Kari J Melby, PT
• Kristin Lee Melby, FP-C
• Melchior Counseling & Consulting PLLC
• Monica M Melchior, LCSW

• Psychiatric/Mental Health Nurse Practitioner in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.

Verify at the official NPI Registry.