Individual provider Active NPI

Melissa Preston, CNP

  • Family Medicine Physician
  • Dumas, TX
National Provider Identifier
1144819293
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1156257 Issued in TX
Practice address
1524 Guy Lane PLZ
Dumas, TX 79029-5542
Phone
(806) 948-1459
Fax
(806) 948-1461
NPI assigned
Jan 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1156257 TX Primary
Family Nurse Practitioner 363LF0000X 62432 NM

Addresses

Primary practice location

1524 Guy Lane PLZ
Dumas, TX 79029-5542

Mailing address

417 Nicklaus Dr SE
Rio Rancho, NM 87124-3483
Phone (505) 999-8467

Other practice location 1

6349 US Highway 550
Cuba, NM 87013-6032
Phone (575) 289-3291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20241007002387 TX Practitioner - Nurse Practitioner 6305244252 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1156257TXMDFamily Medicine Physician
62432NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carmen Purl MD PLLC CurrentSince Jun 29, 2024 Accepting new patients

Locations

1524 Guy Lane Plz
Dumas, TX 79029
Phone (806) 948-1459

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1144819293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 NICKLAUS DR SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871243483",
            "telephone_number": "505-999-8467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 GUY LANE PLZ",
            "city": "DUMAS",
            "state": "TX",
            "postal_code": "790295542",
            "telephone_number": "806-948-1459",
            "fax_number": "806-948-1461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6349 US Highway 550",
            "address_purpose": "LOCATION",
            "city": "Cuba",
            "state": "NM",
            "postal_code": "870136032",
            "country_code": "US",
            "telephone_number": "575-289-3291",
            "fax_number": "575-289-3648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRESTON",
        "first_name": "MELISSA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "1156257",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "62432",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumas, TX

Sources for this page

Verify at the official NPI Registry.