Individual provider Active NPI

Erica Lynn Melrose, D.O.

  • Obstetrics Physician
  • Springfield, MO
National Provider Identifier
1275774887
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
2012014711 Issued in MO
Practice address
1965 S Fremont Ave Ste 270
Springfield, MO 65804-2257
Phone
(417) 820-3559
NPI assigned
Mar 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OH
Obstetrics Physician 207VX0000X 2012014711 MO Primary

Addresses

Primary practice location

1965 S Fremont Ave Ste 270
Springfield, MO 65804-2257

Mailing address

1965 S Fremont Ave Ste 270
Springfield, MO 65804-2257
Phone (417) 820-3559

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121102000367 MO Practitioner - Obstetrics/Gynecology 7113178914 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2012014711MOMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carestl Health CurrentSince Dec 1, 2024 Accepting new patients
SSM Health Care St. Louis CurrentSince Dec 5, 2016 Accepting new patients
Carestl Health CurrentSince Dec 1, 2024 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Oct 1, 2018 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Oct 1, 2018 Accepting new patients
Carestl Health Current Accepting new patients
SSM Health Care St Louis CurrentSince Dec 5, 2016 Accepting new patients
SSM Health Care St. Louis Past Accepting new patients
SSM St. Charles Clinic Medical Group, Inc. Past Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

300 Medical Plz
Ste 31
Lake St Louis, MO 63367
Phone (636) 625-2662

9303 Midland Blvd
Overland, MO 63114
Phone 31436758206119

1551 Wall St
Ste 310
Saint Charles, MO 63303
Phone (636) 669-2268

300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211

5471 Martin Luther King Dr
Saint Louis, MO 63112
Phone 3143675820 ext. 2221

7047 Emma Ave
Saint Louis, MO 63136
Phone (314) 653-8070

10135 West Florissant Ave
Saint Louis, MO 63136
Phone (314) 521-1444

620 S Glenstone Ave
Springfield, MO 65802
Phone (417) 829-4215

1965 S Fremont Ave
Ste 270
Springfield, MO 65804
Phone (417) 820-3559

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

Interoperability endpoints

  • Direct secure messaging: emelrose63100@direct-ehr-ssmhc.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1275774887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 S FREMONT AVE STE 270",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042257",
            "telephone_number": "417-820-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 S FREMONT AVE STE 270",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042257",
            "telephone_number": "417-820-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELROSE",
        "first_name": "ERICA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-11",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "MO",
            "license": "2012014711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.