NPIMap

Individual provider Active NPI

Melody S Wilkinson, AGPCNP

  • Adult Health Nurse Practitioner
  • Warm Springs, MT
National Provider Identifier
1225798473
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
218351 Issued in MT
Practice address
300 Garnet Way
Warm Springs, MT 59756-9700
Phone
(406) 693-7000
NPI assigned
Dec 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 218351 MT Primary
Gerontology Nurse Practitioner 363LG0600X 2021050328 MO

Addresses

Primary practice location

300 Garnet Way
Warm Springs, MT 59756-9700

Mailing address

300 Garnet Way
Warm Springs, MT 59756-9700
Phone (066) 937-1214

Other practice location 1

11477 Olde Cabin Rd Ste 102
Saint Louis, MO 63141-7137
Phone (314) 432-5144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, MT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220208001111 MO Practitioner - Nurse Practitioner 3971996380
I20240611003074 MT Practitioner - Nurse Practitioner 3971996380 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
State of MontanaGroup PAC ID 3870499676, 13 clinicians

Practice addresses (Care Compare)

300 Garnet Way
Warm Springs, MT 59756-9700
Phone (406) 693-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021050328MOMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of Montana PastSince Nov 12, 2023 Accepting new patients
Faris Al-Gebory MD LLC Past Accepting new patients

Organizations & group practices 3

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 11

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": "1640649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1225798473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GARNET WAY",
            "city": "WARM SPRINGS",
            "state": "MT",
            "postal_code": "597569700",
            "telephone_number": "066-937-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 GARNET WAY",
            "city": "WARM SPRINGS",
            "state": "MT",
            "postal_code": "597569700",
            "telephone_number": "406-693-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11477 Olde Cabin Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631417137",
            "country_code": "US",
            "telephone_number": "314-432-5144",
            "fax_number": "314-432-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "MELODY",
        "middle_name": "S",
        "credential": "AGPCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-28",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MT",
            "license": "218351",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MO",
            "license": "2021050328",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warm Springs, MT

Sources for this page

Verify at the official NPI Registry.