NPIMap

Individual provider Active NPI

Melanie Nelson, MD

  • Pediatrics Physician
  • Butte, MT
National Provider Identifier
1124559752
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
10970496-1205 Issued in UT
Practice address
445 Centennial Ave
Butte, MT 59701-2870
Phone
(406) 723-4075
Fax
(406) 723-3059
NPI assigned
Mar 24, 2017
Last updated
Nov 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 10970496-1205 UT Primary

Addresses

Primary practice location

445 Centennial Ave
Butte, MT 59701-2870

Mailing address

445 Centennial Ave
Butte, MT 59701-2870
Phone (406) 723-4075

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MNELSON244098@DIRECT.MED.UTAH.EDU Direct UNIVERSITY OF UTAH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, MT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200504000860 UT Practitioner - Pediatric Medicine 9638423288 Reassigns benefits to 2 organizations
I20211007002820 MT Practitioner - Pediatric Medicine 9638423288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Washington School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

445 Centennial Ave
Butte, MT 59701-2870
Phone (406) 723-4075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10970496-1205UTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Butte Silver Bow Primary Health Care Clinic Inc CurrentSince Sep 7, 2021 Accepting new patients
Butte Silver Bow Primary Health Care Clinic Inc CurrentSince Sep 7, 2021 Accepting new patients
University of Utah Pediatric Services CurrentSince Apr 27, 2020 Accepting new patients
Butte Silver Bow Primary Health Care Clinic Inc Current Accepting new patients
University of Utah Pediatric Acuity Care CurrentSince Apr 27, 2020 Accepting new patients
University of Utah Pediatric Services CurrentSince Apr 27, 2020 Accepting new patients
University of Utah Pediatric Services Pediatrics Current Accepting new patients
University of Utah Pediatric Acuity Care Pediatrics Current Accepting new patients
University of Utah Pediatric Acuity Care CurrentSince Apr 27, 2020 Accepting new patients
St James Healthcare Past Accepting new patients

Locations

445 Centennial Ave
Butte, MT 59701
Phone (406) 496-6007

125 E Glendale St
Dillon, MT 59725
Phone (406) 683-2316

100 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 587-7109

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

Interoperability endpoints

  • Direct secure messaging: mnelson244098@direct.med.utah.edu
  • Direct secure messaging: mnelson353018@direct.ochin.org

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1124559752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 CENTENNIAL AVE",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012870",
            "telephone_number": "406-723-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 CENTENNIAL AVE",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012870",
            "telephone_number": "406-723-4075",
            "fax_number": "406-723-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MELANIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-24",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "UT",
            "license": "10970496-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MNELSON244098@DIRECT.MED.UTAH.EDU",
            "affiliation": "Y",
            "affiliationName": "UNIVERSITY OF UTAH",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

Verify at the official NPI Registry.