Individual provider Active NPI

Melissa Ann Emori, FNP-C

  • Family Nurse Practitioner
  • Keizer, OR
National Provider Identifier
1144749896
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201707557NP-PP Issued in OR
Practice address
5100 River Rd N
Keizer, OR 97303-5371
Phone
(503) 393-2533
NPI assigned
Sep 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201707557NP-PP OR Primary

Addresses

Primary practice location

5100 River Rd N
Keizer, OR 97303-5371

Mailing address

5100 River Rd N
Keizer, OR 97303-5371
Phone (503) 393-2533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20171013000785 OR Practitioner - Nurse Practitioner 0244505469 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salem HealthGroup PAC ID 8628986668, 470 clinicians

Practice addresses (Care Compare)

105 Arney Rd
Suite 120
Woodburn, OR 97071-9472
Phone (503) 814-8640

Hospital & facility affiliations

  • Salem Health West Valley Hospital, Dallas, OR, CCN 381308
  • Salem Hospital Hospital, Salem, OR, CCN 380051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
201707557NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Health CurrentSince Nov 8, 2021 Accepting new patients
Salem Health West Valley CurrentSince Nov 8, 2021 Accepting new patients
Salem Health CurrentSince Nov 8, 2021 Accepting new patients

Locations

1601 Monmouth St
Ste 100
Independence, OR 97351
Phone (503) 623-8301

5100 River Rd N
Keizer, OR 97303
Phone (503) 393-2533

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

105 Arney Rd
Ste 120
Woodburn, OR 97071
Phone (503) 814-8640

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1144749896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 RIVER RD N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973035371",
            "telephone_number": "503-393-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 RIVER RD N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973035371",
            "telephone_number": "503-393-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMORI",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201707557NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keizer, OR

Sources for this page

Verify at the official NPI Registry.