Individual provider Active NPI

Melissa Ann Owens, NP

  • Family Nurse Practitioner
  • Rapid City, SD
National Provider Identifier
1083938476
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP002623 Issued in SD
Practice address
1730 Haines Ave
Rapid City, SD 57701-0615
Phone
(605) 791-7728
Fax
(308) 633-1327
NPI assigned
Mar 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-2165 HI
Family Nurse Practitioner 363LF0000X R892549 MS
Family Nurse Practitioner 363LF0000X 114676 NE
Family Nurse Practitioner 363LF0000X 52066 WY
Family Nurse Practitioner 363LF0000X CP002623 SD Primary

Addresses

Primary practice location

1730 Haines Ave
Rapid City, SD 57701-0615

Mailing address

1730 Haines Ave
Rapid City, SD 57701-0615
Phone (605) 791-7728

Other practice location 1

677 Ala Moana Blvd
Suite 1003
Honolulu, HI 96813-5419
Phone (808) 469-4900

Other identifiers 1

IdentifierTypeStateIssuer
04652841MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, NE, WY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20231129003304 SD Practitioner - Nurse Practitioner 7315127362 Reassigns benefits to 1 organization
I20250214001624 NE Practitioner - Nurse Practitioner 7315127362 Reassigns benefits to 1 organization
I20260219004520 WY Practitioner - Nurse Practitioner 7315127362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sweet Dreams Sleep Services PCGroup PAC ID 7618201955, 5 clinicians

Practice addresses (Care Compare)

1730 Haines Ave
Rapid City, SD 57701-0615
Phone (308) 225-0687

2855 10TH St
Suite B
Gering, NE 69341-2202
Phone (308) 633-1325

4112 Laramie St
Cheyenne, WY 82001-1969
Phone (308) 633-1325

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-2165HIMDFamily Nurse Practitioner
52066WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sweet Dreams Sleep Services, P.C CurrentSince Oct 8, 2023 Accepting new patients

Locations

2855 10th St
Ste B
Gering, NE 69341
Phone (308) 633-1325

1730 Haines Ave
Rapid City, SD 57701
Phone (605) 791-7788

4112 Laramie St
Cheyenne, WY 82001
Phone (307) 514-9901

Organizations & group practices 1

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 1

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": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1083938476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 HAINES AVE",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577010615",
            "telephone_number": "605-791-7728",
            "fax_number": "308-633-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 HAINES AVE",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577010615",
            "telephone_number": "605-791-7728",
            "fax_number": "308-633-1327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "677 Ala Moana Blvd",
            "address_2": "Suite 1003",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968135419",
            "country_code": "US",
            "telephone_number": "808-469-4900",
            "fax_number": "808-536-7315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWENS",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-15",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-2165",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R892549",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "114676",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "52066",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP002623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04652841",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.