Melissa Sue Masonbrink, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2005038114 Issued in MO

Practice address

26136 US Highway 59
Fairfax, MO 64446-8155

Phone

(660) 686-2211

Fax

(660) 686-2618

NPI assigned

Oct 26, 2009

Last updated

Sep 7, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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 MO

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Hospital AssociationGroup PAC ID 1557316783, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Home Health and Restorative Care Home health agency, Mound City, MO, CCN 267413
• Community Hospital Association Hospital, Fairfax, MO, CCN 261303
• Mosaic Medical Center - Maryville Hospital, Maryville, MO, CCN 261340
• Mosaic Life Care at St Joseph Hospital, Saint Joseph, MO, CCN 260006

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Hospital Association

  • Critical Access Hospital
  • Fairfax, MO
  • NPI 1942279500
  Medicare reassignment Care Compare group NPD
• Community Hospital Association

  dba Community Hospital-Fairfax

  • Rural Health Clinic/Center
  • Rock Port, MO
  • NPI 1396741302
  NPD
• Community Hospital Association

  dba Fairfax Family Medicine

  • Rural Health Clinic/Center
  • Fairfax, MO
  • NPI 1689183881
  NPD
• Community Hospital Association

  • Rural Health Clinic/Center
  • Mound City, MO
  • NPI 1518174507
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bentley Enterprises, LLC

  dba Community Home Health and Restorative Care

  • Home Health Agency
  • Mound City, MO
  • NPI 1811518939
  Care Compare affiliation
• Community Hospital Association

  • Critical Access Hospital
  • Fairfax, MO
  • NPI 1942279500
  Care Compare affiliation
• Heartland Regional Medical Center

  dba Mosaic Life Care at St Joseph Medical Center

  • General Acute Care Hospital
  • Saint Joseph, MO
  • NPI 1437259694
  Care Compare affiliation
• Mosaic Medical Center - Maryville

  • Critical Access Hospital
  • Maryville, MO
  • NPI 1265906663
  Care Compare affiliation

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283817600000",
    "number": "1245566314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26136 US HIGHWAY 59",
            "city": "FAIRFAX",
            "state": "MO",
            "postal_code": "644468155",
            "telephone_number": "660-686-2211",
            "fax_number": "660-686-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26136 US HIGHWAY 59",
            "city": "FAIRFAX",
            "state": "MO",
            "postal_code": "644468155",
            "telephone_number": "660-686-2211",
            "fax_number": "660-686-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASONBRINK",
        "first_name": "MELISSA",
        "middle_name": "SUE",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-26",
        "last_updated": "2010-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2005038114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelbie Katelynn Rose Graham, DNP-ARNP
• Rebecca Heits
• Kelsi Holthus, OTR/L
• Janet L Hunter, MS, CCC-SLP
• Casey Marriott, APRN, FNP-C
• Mina K Massey, M.D.
• Summer R Masters, NP
• Kelly Osborn, CRNA
• Tracy Lynn Oswald
• Oxy-Med, Inc.

• Nurse Practitioner in Fairfax, MO
• Providers in Fairfax, MO by specialty
• Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; 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.