Individual provider Active NPI

Melissa Elaine Herst, APRN-CNP

  • Psychiatric/Mental Health Registered Nurse
  • Muskogee, OK
National Provider Identifier
1235840570
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
R0067184 Issued in OK
Practice address
2414 E Shawnee Rd
Muskogee, OK 74403-1530
Phone
(918) 577-3699
NPI assigned
Dec 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X R0067184 OK Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 210979 OK

Addresses

Primary practice location

2414 E Shawnee Rd
Muskogee, OK 74403-1530

Mailing address

2414 E Shawnee Rd
Muskogee, OK 74403-1530
Phone (918) 577-3699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0067184OKMDPsychiatric/Mental Health Registered Nurse
210979OKMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1235840570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 E SHAWNEE RD",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744031530",
            "telephone_number": "918-577-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 E SHAWNEE RD",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744031530",
            "telephone_number": "918-577-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERST",
        "first_name": "MELISSA",
        "middle_name": "ELAINE",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-07",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OK",
            "license": "R0067184",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OK",
            "license": "210979",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.