Individual provider Active NPI

Melissa Nell Gingerich

  • Primary Care Nurse Practitioner
  • Claremore, OK
National Provider Identifier
1073262903
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
109502 Issued in OK
Practice address
1501 N Florence Ave
Claremore, OK 74017-3179
Phone
(918) 579-3627
NPI assigned
Mar 18, 2022
Last updated
Mar 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 109502 OK Primary

Addresses

Primary practice location

1501 N Florence Ave
Claremore, OK 74017-3179

Mailing address

3205 Callaway Dr
Claremore, OK 74019-4824
Phone (918) 559-9747

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220909001395 OK Practitioner - Nurse Practitioner 2466837570 Reassigns benefits to 1 organization

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

Practice addresses (Care Compare)

1501 N Florence Ave
Suite 101 201 250 and 300
Claremore, OK 74017-3179
Phone (918) 579-3627

201 W Blue Starr Dr
Claremore, OK 74017-4227
Phone (918) 341-5200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
109502OKMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ahs Claremore Regional Hospital, LLC CurrentSince Feb 1, 2020 Accepting new patients
Ahs Claremore Regional Hospital LLC CurrentSince Jul 1, 2022 Accepting new patients
Ahs Claremore Regional Hospital, LLC. Past Accepting new patients
Ahs Oklahoma Physician Group LLC Past Accepting new patients

Locations

1501 N Florence Ave
Claremore, OK 74017
Phone (918) 343-8574

1501 N Florence Ave
Ste 101
Claremore, OK 74017
Phone (918) 341-4532

1501 N Florence Ave
Ste 101300
Claremore, OK 74017
Phone (918) 579-3627

1501 N Florence Ave
Ste 300
Claremore, OK 74017
Phone (918) 341-5200

201 W Blue Starr Dr
Claremore, OK 74017
Phone (918) 341-1311

Interoperability endpoints

  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
  • Direct secure messaging: mgingerich329921@ahs.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1073262903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 CALLAWAY DR",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740194824",
            "telephone_number": "918-559-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N FLORENCE AVE",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740173179",
            "telephone_number": "918-579-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINGERICH",
        "first_name": "MELISSA",
        "middle_name": "NELL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OK",
            "license": "109502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremore, OK

Sources for this page

Verify at the official NPI Registry.