Individual provider Active NPI

Melissa M Tangeman, APRN

  • Nurse Practitioner
  • Topeka, KS
National Provider Identifier
1235674532
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-77511 Issued in KS
Practice address
4505 NW Fielding Rd
Topeka, KS 66618-2651
Phone
(785) 270-0080
Fax
(785) 270-0001
NPI assigned
Dec 23, 2016
Last updated
Aug 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-77511 KS Primary

Addresses

Primary practice location

4505 NW Fielding Rd
Topeka, KS 66618-2651

Mailing address

4505 NW Fielding Rd
Topeka, KS 66618-2651
Phone (785) 270-0080

Other identifiers 1

IdentifierTypeStateIssuer
201148680AMedicaidKS

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mtangeman42631@stormontvaildirect.org Direct STORMONT-VAIL HEALTHCARE INC
Direct Messaging Address mtangeman42631@stormontvaildirect.org Direct COTTON O'NEIL CLINIC REVOCABLE TRUST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20170123000365 KS Practitioner - Nurse Practitioner 2466734777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

901 SW Garfield Ave
Topeka, KS 66606-1670
Phone (785) 354-9591

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-77511KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Feb 20, 2017 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Feb 20, 2017 Accepting new patients

Locations

1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242

4505 NW Fielding Rd
Topeka, KS 66618
Phone (785) 270-0047

901 SW Garfield Ave
Topeka, KS 66606

Organizations & group practices 2

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": "1482451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1235674532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 NW FIELDING RD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666182651",
            "telephone_number": "785-270-0080",
            "fax_number": "785-270-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 NW FIELDING RD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666182651",
            "telephone_number": "785-270-0080",
            "fax_number": "785-270-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANGEMAN",
        "first_name": "MELISSA",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-23",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-77511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201148680A",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mtangeman42631@stormontvaildirect.org",
            "affiliation": "Y",
            "endpointDescription": "SVH Secure Messaging",
            "affiliationName": "STORMONT-VAIL HEALTHCARE INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "4505 NW Fielding Rd",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666182651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mtangeman42631@stormontvaildirect.org",
            "affiliation": "Y",
            "endpointDescription": "SVH Secure Messaging",
            "affiliationName": "COTTON O'NEIL CLINIC REVOCABLE TRUST",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "4505 NW Fielding Rd",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666182651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.