Active NPI
Melissa Katherine Hartley, MD
- Emergency Medicine Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- C2671
- Practice address
- 200 E Chestnut St
Louisville, KY 40202-1831 - Phone
- (502) 629-8000
- NPI assigned
- May 28, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | M-16309 | ID | |
| Emergency Medicine Physician | 207P00000X | R76298 | AZ | |
| Emergency Medicine Physician | 207P00000X | C2671 | KY | Primary |
Addresses
Primary practice location
200 E Chestnut St
Louisville, KY 40202-1831
Mailing address
PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490
Other practice location 1
301 Cedar St
Orofino, ID 83544-9029
Phone (208) 476-5777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R76298 | Other | AZ | ARIZONA MEDICAL BOARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, ID, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Utah School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 W 5TH Ave
Spokane, WA 99204-2803
Phone (509) 473-7101
Hospital & facility affiliations
- Deaconess Medical Center
- Multicare Valley Hospital
- Clearwater Valley Hospital & Clinics
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-16309 | ID | MD | Emergency Medicine Physician |
| C2671 | KY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital District No 1 of Mason County | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Emergency Medicine | Current | Accepting new patients |
| Clearwater Valley Hospital & Clinics Inc. | Current | Accepting new patients | |
| Public Hospital District No 1 of Mason County Wa | Current | Accepting new patients | |
| Public Hospital District No 1 of Mason County | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Clearwater Valley Hospital & Clinics Inc. | Current | Accepting new patients | |
| Spokane Emergency Care Physicians PLLC | Emergency Medicine | Current | Accepting new patients |
Locations
2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085
301 Cedar St
Orofino, ID 83544
Phone (208) 476-4555
850 S 28th St
Louisville, KY 40211
Phone (502) 629-7650
200 E Chestnut St
Ste 303
Louisville, KY 40202
Phone (502) 629-5552
4960 Norton Healthcare Blvd
Louisville, KY 40241
Phone (502) 446-8000
1 Audubon Plaza Dr
Louisville, KY 40217
Phone (502) 634-6767
200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000
825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165
901 Mountain View Dr
Shelton, WA 98584
Phone (360) 426-1611
8202 N Division St
Spokane, WA 99208
Phone (509) 473-3333
800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800
Interoperability endpoints
- mhartley490558@direct.multicare.org
Organizations & group practices 10
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.
-
- Emergency Medicine Physician
- Spokane, WA
- NPI 1912564055
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1306983762
-
- Critical Access Hospital
- Orofino, ID
- NPI 1255449013
-
- Critical Access Hospital
- Shelton, WA
- NPI 1760568752
-
- Family Medicine Physician
- Orofino, ID
- NPI 1073551396
-
- Emergency Medicine Physician
- Louisville, KY
- NPI 1679275440
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1881192409
-
- Rural Health Clinic/Center
- Orofino, ID
- NPI 1033153739
-
- Clinic/Center
- Hoodsport, WA
- NPI 1548699408
-
- Clinic/Center
- Shelton, WA
- NPI 1316174774
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Health Clinic/Center
- Orofino, ID
- NPI 1033153739
Hospital
-
- Family Medicine Physician
- Orofino, ID
- NPI 1073551396
Hospital
-
- Critical Access Hospital
- Orofino, ID
- NPI 1255449013
-
- Durable Medical Equipment & Medical Supplies
- Orofino, ID
- NPI 1558410399
Hospital
-
- Family Medicine Physician
- Orofino, ID
- NPI 1891733747
Hospital
-
- General Acute Care Hospital
- Spokane, WA
- NPI 1356528269
-
- General Acute Care Hospital
- Spokane Valley, WA
- NPI 1538345251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770681600000",
"number": "1164950671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776351",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776351",
"telephone_number": "502-588-9490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E CHESTNUT ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021831",
"telephone_number": "502-629-8000"
}
],
"practiceLocations": [
{
"address_1": "301 Cedar St",
"address_purpose": "LOCATION",
"city": "Orofino",
"state": "ID",
"postal_code": "835449029",
"country_code": "US",
"telephone_number": "208-476-5777",
"fax_number": "208-476-5385",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARTLEY",
"first_name": "MELISSA",
"middle_name": "KATHERINE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-28",
"last_updated": "2026-02-10",
"certification_date": "2026-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ID",
"license": "M-16309",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "R76298",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "C2671",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA MEDICAL BOARD",
"identifier": "R76298",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.