Melanie Ann Wylie, RN MSN CNS APN

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

309002368 Issued in IL

Practice address

12 N 64TH St
Belleville, IL 62223-3809

Phone

(618) 397-7145

Fax

(618) 397-0093

NPI assigned

Apr 3, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249516800000",
    "number": "1083735443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 FOXMOOR DR",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620626729",
            "telephone_number": "618-344-8986",
            "fax_number": "618-397-4368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 N 64TH ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622233809",
            "telephone_number": "618-397-7145",
            "fax_number": "618-397-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYLIE",
        "first_name": "MELANIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RN MSN CNS APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2009-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "IL",
            "license": "309002368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "041291221",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN LICENSE",
            "identifier": "309002368",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peyton Michele Wright
• Kim C Wrigley, P.A.
• Erin Leigh Wuerz, M.P.T.
• Judith L Wuller, MD
• Chea Wyatt
• Srinivasarao C Yaganti, M.D.
• Beth Christine Yagge, M.P.T.
• Barbara G Yale, AUDIOLOGIST
• Kevin Yang, MD
• Phyllis E Yarber, CRNA

• Adult Psychiatric/Mental Health Registered Nurse in Belleville, IL
• Providers in Belleville, IL by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; 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.