Melanie Michelle Martin, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704211952 Issued in MI

Practice address

101 Empire Mine Rd
Ishpeming, MI 49849

Phone

(906) 475-3606

Fax

(906) 936-6681

NPI assigned

May 3, 2012

Last updated

Oct 11, 2023By 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

Other identifiers 1

Other names 1

• Miss Melanie Michelle Goeman Former name

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: melanie.martin@marshfieldclinichealthsystem.cernerdirect.com

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.

• MCHS Hospitals Inc

  dba Marshfield Medical Center

  • Clinic/Center
  • Marshfield, WI
  • NPI 1093221434
  NPD

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1265790794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7222 HARDWOOD RD",
            "city": "REPUBLIC",
            "state": "MI",
            "postal_code": "498799074",
            "telephone_number": "906-281-3745",
            "fax_number": "906-936-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 EMPIRE MINE RD",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "49849",
            "telephone_number": "906-475-3606",
            "fax_number": "906-936-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MELANIE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-03",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704211952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN NURSES CREDENTIALING CENTER",
            "identifier": "2011019266",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "GOEMAN",
            "middle_name": "MICHELLE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gala Sue Malherbe, PT
• Joann L Manty, RN
• Kendra Sundin Marcuson, BCBA, LBA
• Marquette County Medical Care
• Deklan Paul Marshall
• Jessica Mason, MA CCC-SLP
• Mather Healthcare, LLC
• Megan Mathieu, PT, DPT
• Kirsten R Matthews, MA, OTRL, CLT
• Richard Keith Matthews, OTRL, CHT

• Family Nurse Practitioner in Ishpeming, MI
• Providers in Ishpeming, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.