Melissa Van Fossen, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

203486 Issued in AK

Practice address

510 W Tudor Rd Ste 1
Anchorage, AK 99503-6649

Phone

(907) 744-1944

Fax

(907) 921-7669

NPI assigned

Feb 22, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

A4 Specialty Medical Group Fairbanks LLCGroup PAC ID 2163963463, 3 clinicians

A4 Specialty Medical Group LLCGroup PAC ID 7315313558, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• A4 Specialty Medical Group Fairbanks LLC

  • Multi-Specialty Clinic/Center
  • Fairbanks, AK
  • NPI 1134990336
  Medicare reassignment Care Compare group NPD
• A4 Specialty Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Anchorage, AK
  • NPI 1659010361
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1235837865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10715 BRIGGS CACHE CIR",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778194",
            "telephone_number": "406-531-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W TUDOR RD STE 1",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036649",
            "telephone_number": "907-744-1944",
            "fax_number": "907-921-7669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN FOSSEN",
        "first_name": "MELISSA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "203486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Maria Van de Rostyne, ANP
• Caine Charles Van de Water
• Jennifer Hope Van Der Slice, LCSW
• Lian I Van Der Weel
• Katherine Nagele Van Duine, DVM
• Allison Ann Van Haastert, MD
• Niccole Elizabeth Van Hoey
• Margaret Van Huystee, LCSW
• Nicholas A Van Lith, MD
• Abigail Van Nortwick

• Family Nurse Practitioner in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Family Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.

Verify at the official NPI Registry.