Melissa Megan Conard, APRN
Individual provider Active NPI Nurse Practitioner · Lyons, KS
NPI 1255645552 · NPPES record last updated Jan 7, 2021
Key facts
- NPI
- 1255645552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 53-75143 (KS)
- Practice address
- 619 S Clark Ave
Lyons, KS 67554-3003 - Phone
- (620) 257-5173
- Fax
- (620) 257-2608
- NPI assigned
- Jul 29, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospital District No 1 of Rice Co
Practice addresses (Care Compare)
239 N Broadway Ave
Sterling Med Center
Sterling, KS 67579-1916
Phone (620) 278-2123
619 S Clark Ave
Lyons, KS 67554-3003
Phone (620) 257-5173
Hospital & facility affiliations
- Hospital District #1 of Rice County
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140218000509 | KS | Practitioner - Certified Nurse Midwife (CNM) | 6305075300 | Reassigns benefits to 1 organization |
| I20160216002124 | KS | Practitioner - Nurse Practitioner | 6305075300 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-75143 | KS | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital District No 1 of Rice Co | Current |
Accepting new patients | |
| Hospital District No 1 of Rice Co | Current |
Accepting new patients | |
| Medical Center, P.a. | Past | Accepting new patients |
Locations
1221 W Noble St
Lyons, KS 67554
Phone (620) 257-5124
619 S Clark Ave
Lyons, KS 67554
Phone (620) 257-5173
239 N Broadway Ave
Sterling, KS 67579
Phone (620) 278-2123
Interoperability endpoints
- melissa.conard@khindirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 53-75143 | KS | |
| Nurse Practitioner | 363L00000X | 53-75143 | KS | Yes |
Addresses
Primary practice location
619 S Clark Ave
Lyons, KS 67554-3003
Mailing address
PO Box 828
Lyons, KS 67554-0828
Phone (620) 257-5173
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200671080B | Medicaid | KS |
Other providers in Lyons, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.