Active NPI
Melissa F Halvorson, MD
- Obstetrics & Gynecology Physician
- Saint Johns, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MH070380
- Practice address
- 1005 S US Highway 27 Ste 100
Saint Johns, MI 48879-2423 - Phone
- (989) 224-3000
- Fax
- (989) 668-0423
- NPI assigned
- Mar 7, 2006
- Last updated
- Jan 20, 2023
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MH070380 | MI | Primary |
Addresses
Primary practice location
1005 S US Highway 27 Ste 100
Saint Johns, MI 48879-2423
Mailing address
1560 Turf Lane
East Lansing, MI 48823-6392
Phone (517) 484-3000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0331169 | Other | MI | BCBS/BCN PROVIDER # |
| 1016279 | Other | MI | MCLAREN PROVIDER # |
| 0770053 | Other | MI | PHP FAMILYCARE PROVIDER # |
| 4662800 | Medicaid | MI | |
| 0700378 | Other | MI | PHP PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH070380 | MI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward W Sparrow Hospital Association | Current | Accepting new patients | |
| West Branch Regional Medical Center | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Obstetrics & Gynecology | Current | Accepting new patients |
| Edward W. Sparrow Hospital Association | Current | Accepting new patients | |
| Uwh of Michigan PLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Catherine McAuley Health Services Corporation | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
1560 Turf Ln
East Lansing, MI 48823
Phone (517) 484-3000
1575 Ramblewood Dr
Ste 100
East Lansing, MI 48823
Phone (517) 364-3659
1200 E Michigan Ave
Ste 345
Lansing, MI 48912
Phone (517) 364-5610
1322 E Michigan Ave
Ste 220
Lansing, MI 48912
Phone (517) 364-2570
1100 S Cedar St
Mason, MI 48854
Phone (517) 484-3000
1457 N M 52
Ste 2
Owosso, MI 48867
Phone (989) 723-5136
2431 S M 30
Ste 200
West Branch, MI 48661
Phone (989) 343-3762
2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660
2463 S M 30
Ste 200
West Branch, MI 48661
Interoperability endpoints
- melissahalvorson@aog.allscriptsdirect.net
- melissahalvorson@ccmedc.allscriptsdirect.net
Organizations & group practices 6
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.
-
dba Sparrow Regional Children's Center
- Pediatrics Physician
- Lansing, MI
- NPI 1831139088
-
dba University of Michigan Health-Sparrow
- Adult Health Nurse Practitioner
- Lansing, MI
- NPI 1265220438
-
dba Sparrow Women's Center
- Obstetrics & Gynecology Physician
- Lansing, MI
- NPI 1811943582
-
- Obstetrics & Gynecology Physician
- East Lansing, MI
- NPI 1982352357
-
- Rural Acute Care Hospital
- West Branch, MI
- NPI 1396732103
-
dba Saint Joseph Mercy Medical Group
- Obstetrics & Gynecology Physician
- Ypsilanti, MI
- NPI 1598798142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674172800000",
"number": "1114994365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 TURF LANE",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488236392",
"telephone_number": "517-484-3000",
"fax_number": "517-484-6358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 S US HIGHWAY 27 STE 100",
"city": "SAINT JOHNS",
"state": "MI",
"postal_code": "488792423",
"telephone_number": "989-224-3000",
"fax_number": "989-668-0423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALVORSON",
"first_name": "MELISSA",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-07",
"last_updated": "2023-01-20",
"certification_date": "2023-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "MH070380",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS/BCN PROVIDER #",
"identifier": "0331169",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN PROVIDER #",
"identifier": "1016279",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP FAMILYCARE PROVIDER #",
"identifier": "0770053",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4662800",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP PROVIDER #",
"identifier": "0700378",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Johns, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.