Individual provider Active NPI

Melissa Marie Winn

  • Family Nurse Practitioner
  • Lander, WY
National Provider Identifier
1164548095
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
43329 Issued in WY
Practice address
8204 Highway 789
Lander, WY 82520
Phone
(970) 424-9766
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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 43329 WY Primary

Addresses

Primary practice location

8204 Highway 789
Lander, WY 82520

Mailing address

8204 Highway 789
Lander, WY 82520-2941
Phone (970) 424-9766

Other practice location 1

745 Russell St
Craig, CO 91625
Phone (970) 824-8233

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191114002529 WY Order and Referring Only - Family PracticePractitioner - Family Practice 1456783364

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
State of Wyoming Past Accepting new patients

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1164548095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8204 HIGHWAY 789",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825202941",
            "telephone_number": "970-424-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8204 HIGHWAY 789",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "82520",
            "telephone_number": "970-424-9766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "745 Russell St",
            "address_purpose": "LOCATION",
            "city": "Craig",
            "state": "CO",
            "postal_code": "91625",
            "country_code": "US",
            "telephone_number": "970-824-8233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINN",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "43329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lander, WY

Sources for this page

Verify at the official NPI Registry.