Individual provider Active NPI

Melissa A Foster, FNP-C

  • Family Nurse Practitioner
  • Kemmerer, WY
National Provider Identifier
1205928108
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17739.156 Issued in WY
Practice address
711 Onyx St
Kemmerer, WY 83101-3214
Phone
(307) 877-4496
Fax
(307) 877-9769
NPI assigned
Sep 28, 2006
Last updated
Sep 21, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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 17739.156 WY Primary

Addresses

Primary practice location

711 Onyx St
Kemmerer, WY 83101-3214

Mailing address

190 Arrowhead Dr
Evanston, WY 82930-9266
Phone (307) 789-3636

Other identifiers 2

IdentifierTypeStateIssuer
112230400MedicaidWY
304030OtherWYBLUE CROSS/BLUE SHIELD

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
I20100113000390 WY Practitioner - Nurse Practitioner 8527109503 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evanston Hospital CorporationGroup PAC ID 7113900358, 15 clinicians
Evanston Clinic CorpGroup PAC ID 8325038094, 24 clinicians

Practice addresses (Care Compare)

190 Arrowhead Dr
Evanston, WY 82930-9266
Phone (307) 789-3636

196 Arrowhead Dr
Suite 1
Evanston, WY 82930-8752
Phone (307) 783-8123

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17739.156WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Evanston Hospital Corporation Current Accepting new patients
Evanston Clinic Corp Family CurrentSince Jan 1, 2025 Accepting new patients
Evanston Hospital Corporation CurrentSince May 8, 2015 Accepting new patients
Evanston Hospital Corporation CurrentSince May 8, 2015 Accepting new patients
Memorial Hospital of Sweetwater County PastSince Jan 1, 2025 Accepting new patients

Locations

190 Arrowhead Dr
Evanston, WY 82930
Phone (307) 789-3636

196 Arrowhead Dr
Ste 1
Evanston, WY 82930
Phone (307) 783-8123

196 Arrowhead Dr
Ste 2
Evanston, WY 82930
Phone (307) 783-8143

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1583/brand/2/csg/28/fhir/r4
  • Direct secure messaging: melissa.foster.1@1583.direct.athenahealth.com
  • Direct secure messaging: mfoste21@yourcarecommunity.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1205928108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 ARROWHEAD DR",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829309266",
            "telephone_number": "307-789-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 ONYX ST",
            "city": "KEMMERER",
            "state": "WY",
            "postal_code": "831013214",
            "telephone_number": "307-877-4496",
            "fax_number": "307-877-9769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "MELISSA",
        "middle_name": "A",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "17739.156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112230400",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "304030",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kemmerer, WY

Sources for this page

Verify at the official NPI Registry.