Individual provider Active NPI

Melanie Faith McCormick, MD

  • Surgery Physician
  • Lincoln, NE
National Provider Identifier
1275020331
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
36729 Issued in NE
Practice address
2222 S 16TH St
Tower B Ste 405
Lincoln, NE 68502-3793
Phone
(402) 481-5860
NPI assigned
Apr 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 36729 NE Primary

Addresses

Primary practice location

2222 S 16TH St
Tower B Ste 405
Lincoln, NE 68502-3793

Mailing address

PO Box 860876
Minneapolis, MN 55486-0876
Phone (402) 483-8590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, NE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211007000024 MN Practitioner - General Surgery 3678829421 Reassigns benefits to 3 organizations
I20250813002642 NE Practitioner - General Surgery 3678829421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Nebraska College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bryan Physician NetworkGroup PAC ID 7315915873, 236 clinicians

Practice addresses (Care Compare)

2222 S 16TH St Tower B
405 Bryan Medical Center Trauma Outpatient
Lincoln, NE 68502-3793
Phone (402) 481-5860

Hospital & facility affiliations

  • Bryan Medical Center Hospital, Lincoln, NE, CCN 280003
  • CHI Health St. Elizabeth Hospital, Lincoln, NE, CCN 280020
  • Beatrice Community Hospital & Health Center, Inc Hospital, Beatrice, NE, CCN 281364

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Group Health, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Healtheast Medical Research Institute CurrentSince Dec 1, 2023 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute Surgery CurrentSince Dec 1, 2023 Accepting new patients
Fairview Health Services CurrentSince Dec 1, 2023 Accepting new patients
Group Health, Inc. Current Accepting new patients
Group Health Plan, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Fairview Health Services CurrentSince Dec 1, 2023 Accepting new patients
Bryan Physician Network Surgery CurrentSince Sep 15, 2025 Accepting new patients

Locations

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

420 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-6483

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

2945 Hazelwood St
Ste 200
Saint Paul, MN 55109
Phone (612) 440-6315

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

2222 S 16th St
Ste 405
Lincoln, NE 68502
Phone (402) 474-3704

2222 S 16th St
Ste 405B
Lincoln, NE 68502
Phone (402) 481-5860

2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042

2300 S 16th St
Ste A
Lincoln, NE 68502

Interoperability endpoints

  • Direct secure messaging: mmccormick208251@hisp.bryanhealth.org

Organizations & group practices 10

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1523750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1275020331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860876",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554860876",
            "telephone_number": "402-483-8590",
            "fax_number": "402-483-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 S 16TH ST",
            "address_2": "TOWER B STE 405",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023793",
            "telephone_number": "402-481-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "MELANIE",
        "middle_name": "FAITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-15",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NE",
            "license": "36729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.