Individual provider Active NPI

Melissa Elaine Rhoades, FNP-C

  • Dermatology Physician
  • Gillette, WY
National Provider Identifier
1194493379
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
48390 Issued in WY
Practice address
1301 W 3Rd St
Gillette, WY 82716-3335
Phone
(307) 234-0003
NPI assigned
Sep 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 48390 WY Primary

Addresses

Primary practice location

1301 W 3Rd St
Gillette, WY 82716-3335

Mailing address

1907 Cypress Cir
Gillette, WY 82718-5309

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211123000689 WY Practitioner - Nurse Practitioner 2062801525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Wyoming Skin Clinic PCGroup PAC ID 7416930649, 3 clinicians

Practice addresses (Care Compare)

2012 Elm St
Rawlins, WY 82301-5164
Phone (307) 234-0003

Merit-based Incentive Payment System (MIPS)

Final score
93.81 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
79.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48390WYMDDermatology Physician

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12965/brand/2/csg/1/fhir/r4
  • Direct secure messaging: mrhoades@wyoskindoc.emadirect.md

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": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1194493379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 CYPRESS CIR",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 3RD ST",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163335",
            "telephone_number": "307-234-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHOADES",
        "first_name": "MELISSA",
        "middle_name": "ELAINE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WY",
            "license": "48390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

Verify at the official NPI Registry.