Melanie Nelson, MD

Individual provider Active NPI Pediatrics Physician · Butte, MT

NPI 1124559752 · NPPES record last updated Nov 30, 2021

Key facts

NPI
1124559752
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
10970496-1205 (UT)
Practice address
445 Centennial Ave
Butte, MT 59701-2870
Phone
(406) 723-4075
Fax
(406) 723-3059
NPI assigned
Mar 24, 2017
Sex
Female
Sole proprietor
Yes

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Pediatric Medicine
Education
University of Washington School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Butte Silver Bow Primary Health Care Clinic Inc (27 clinicians)

Practice addresses (Care Compare)

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in UT, MT
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

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

Locations

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

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

Specialties & licenses

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

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

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

Other providers in Butte, MT

All providers in Butte, MT · Pediatrics Physician in Montana

Sources for this page

Verify at the official NPI Registry.