Individual provider Active NPI

Melissa Klausman, CNM, WHNP-BC

  • Women's Health Nurse Practitioner
  • Mount Vernon, IL
National Provider Identifier
1144684622
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
209031128 Issued in IL
Practice address
8 Cusumano Professional Plaza Dr
Mount Vernon, IL 62864-6736
Phone
(618) 244-4800
Fax
(618) 241-1746
NPI assigned
Apr 11, 2016
Last updated
Jul 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 209031128 IL Primary
Advanced Practice Midwife 367A00000X 209024128 IL

Addresses

Primary practice location

8 Cusumano Professional Plaza Dr
Mount Vernon, IL 62864-6736

Mailing address

8 Cusumano Professional Plaza Dr
Mount Vernon, IL 62864-6736
Phone (618) 244-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220301001511 IL Practitioner - Certified Nurse Midwife (CNM) 5496099475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Georgetown University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asbery and Associates OB GYN LLCGroup PAC ID 6507993136, 9 clinicians

Practice addresses (Care Compare)

8 Cusumano Professional Plaza Dr
Mount Vernon, IL 62864-6736
Phone (618) 244-4800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Asbery and Associates OB GYN LLC CurrentSince Jan 24, 2022 Accepting new patients

Locations

4225 Lincolnshire Dr
Ste B
Mount Vernon, IL 62864

8 Cusumano Professional Plaza Dr
Mount Vernon, IL 62864
Phone (618) 242-7819

8 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 244-5500

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": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1144684622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CUSUMANO PROFESSIONAL PLAZA DR",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646736",
            "telephone_number": "618-244-4800",
            "fax_number": "618-241-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CUSUMANO PROFESSIONAL PLAZA DR",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646736",
            "telephone_number": "618-244-4800",
            "fax_number": "618-241-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAUSMAN",
        "first_name": "MELISSA",
        "credential": "CNM, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-11",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": "209031128",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209024128",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, IL

Sources for this page

Verify at the official NPI Registry.