Melissa Anderson, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

G170093 Issued in IA

Practice address

88 MDG/SGHJ, 4881 Sugar Maple Dr
Wpafb, OH 45433

Phone

(937) 257-6877

NPI assigned

May 6, 2020

Last updated

Aug 13, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1134740624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 TH MEDICAL GROUP",
            "address_2": "4881 SUGAR MAPLE DR",
            "city": "WPAFB",
            "state": "OH",
            "postal_code": "45433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 MDG/SGHJ, 4881 SUGAR MAPLE DR",
            "city": "WPAFB",
            "state": "OH",
            "postal_code": "45433",
            "telephone_number": "937-257-6877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1060 W Perimeter Rd",
            "address_purpose": "LOCATION",
            "city": "Jb Andrews",
            "state": "MD",
            "postal_code": "207626602",
            "country_code": "US",
            "telephone_number": "240-857-7186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "238 Brookley Ave SW",
            "address_purpose": "LOCATION",
            "city": "Bolling AFB",
            "state": "DC",
            "postal_code": "200327704",
            "country_code": "US",
            "telephone_number": "202-767-0611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-06",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G170093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 88TH Medgrp-Wright-Patterson
• Peter Allegre, DO
• Jacqueline S Allen, PSYD
• Jerry Oliver Andrews II, MD
• John Alan Arthur
• Robert Atisme, LCSW
• Matthew Augusta, DO
• Charity D Bailey, PA

• Psychiatric/Mental Health Nurse Practitioner in Wpafb, OH
• Providers in Wpafb, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.

Verify at the official NPI Registry.