NPIMap

Individual provider Active NPI

Melissa Rae Stade, M.D.

  • Surgery Physician
  • Kearney, NE
National Provider Identifier
1164543674
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
24103 Issued in NE
Practice address
816 22ND Ave
Suite 100
Kearney, NE 68845-2234
Phone
(308) 865-2263
Fax
(308) 865-2541
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 24103 NE Primary

Addresses

Primary practice location

816 22ND Ave
Suite 100
Kearney, NE 68845-2234

Mailing address

816 22ND Ave
Suite 100
Kearney, NE 68845-2234
Phone (308) 865-2263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070703000634 NE Practitioner - General Surgery 2860592847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Nebraska College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bryan Hospital KearneyGroup PAC ID 5991195547, 116 clinicians

Practice addresses (Care Compare)

816 22ND Ave
Suite 100
Kearney, NE 68845-2226
Phone (308) 865-2263

Hospital & facility affiliations

  • Kearney Regional Medical Center Hospital, Kearney, NE, CCN 280134
  • Callaway District Hospital Hospital, Callaway, NE, CCN 281335
  • Community Hospital Hospital, McCook, NE, CCN 281363
  • CHI Health Good Samaritan Hospital, Kearney, NE, CCN 280009
  • Phelps Memorial Health Center Hospital, Holdrege, NE, CCN 281362

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy60
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy19
Upper gastrointestinal (GI) endoscopy for acid reflux22
Melanoma (skin cancer) excision1-10
Removal of tissue38
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Hospital Kearney Surgery CurrentSince Jan 1, 2022 Accepting new patients
Bryan Hospital Kearney CurrentSince Jan 1, 2022 Accepting new patients
Western Surgical Group, PC Surgery Past Accepting new patients
Central Nebraska Spinal Surgery Center, P.C. Past Accepting new patients
Regional West Physicians Clinic Past Accepting new patients
Regional West Physicians Clinic Surgery Past Accepting new patients

Locations

816 22nd Ave
Ste 100
Kearney, NE 68845
Phone (308) 865-2263

3712 28th Ave
Kearney, NE 68845
Phone (308) 865-2737

920 E 56th St
Ste C2
Kearney, NE 68847
Phone (308) 237-9696

804 22nd Ave
Kearney, NE 68845
Phone (308) 455-3600

Interoperability endpoints

  • Direct secure messaging: mstade56581@hisp.bryanhealth.org

Organizations & group practices 6

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 6

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": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407369600000",
    "number": "1164543674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 22ND AVE",
            "address_2": "SUITE 100",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452234",
            "telephone_number": "308-865-2263",
            "fax_number": "308-865-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 22ND AVE",
            "address_2": "SUITE 100",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452234",
            "telephone_number": "308-865-2263",
            "fax_number": "308-865-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STADE",
        "first_name": "MELISSA",
        "middle_name": "RAE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2014-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NE",
            "license": "24103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.