Individual provider Active NPI

Melissa M Muha, FNP

  • Family Nurse Practitioner
  • Boonville, NY
National Provider Identifier
1285955807
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
336323 Issued in NY
Practice address
8782 Woodgate Dr
Boonville, NY 13309-5267
Phone
(315) 942-5406
NPI assigned
Jun 17, 2010
Last updated
Jul 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11016501 FL
Family Nurse Practitioner 363LF0000X 336323 NY Primary
Family Nurse Practitioner 363LF0000X 15703-33 WI
Family Nurse Practitioner 363LF0000X 209.028204 IL
Family Nurse Practitioner 363LF0000X CNP.0033903 OH
Family Nurse Practitioner 363LF0000X 4704404316 MI
Family Nurse Practitioner 363LF0000X SP032186 PA
Family Nurse Practitioner 363LF0000X 71014995A IN
Registered Nurse 163W00000X 28281566A IN

Addresses

Primary practice location

8782 Woodgate Dr
Boonville, NY 13309-5267

Mailing address

8782 Woodgate Dr
Boonville, NY 13309-5267

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OH, IL, IN, MI, PA6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20101008001087 NY Practitioner - Nurse Practitioner 0244422277 Reassigns benefits to 3 organizations
I20230629003766 OH Practitioner - Nurse Practitioner 0244422277 Reassigns benefits to 1 organization
I20231030002744 IL Practitioner - Nurse Practitioner 0244422277 Reassigns benefits to 2 organizations
I20240515003788 IN Practitioner - Nurse Practitioner 0244422277 Reassigns benefits to 1 organization
I20240808001563 MI Practitioner - Nurse Practitioner 0244422277 Reassigns benefits to 2 organizations
I20250617001386 PA Practitioner - Nurse Practitioner 0244422277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physicians Immediate Care North Chicago LLCGroup PAC ID 8729064159, 256 clinicians
Pic Indiana PCGroup PAC ID 3476790239, 143 clinicians
Wellnow Urgent Care, P.C.Group PAC ID 8325320864, 395 clinicians

Practice addresses (Care Compare)

121 W N Ave
Chicago, IL 60610-1315
Phone (312) 643-5606

1803 M
Suite 139
Benton Harbor, MI 49022-6103
Phone (269) 487-3021

26 Bolivar Dr
Bradford, PA 16701-3125
Phone (814) 817-4690

446 Fairview Ave
Suite 200
Hudson, NY 12534-1048
Phone (518) 267-3496

505 W Cleveland Rd
Mishawaka, IN 46545-1003
Phone (574) 235-3135

515 Belt Line Rd
Collinsville, IL 62234-4411
Phone (618) 381-9041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28281566AINMDRegistered Nurse
APRN11016501FLMDFamily Nurse Practitioner
209.028204ILMDFamily Nurse Practitioner
71014995AINMDFamily Nurse Practitioner
4704404316MIMDFamily Nurse Practitioner
336323NYMDFamily Nurse Practitioner
CNP.0033903OHMDFamily Nurse Practitioner
15703-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physician Services of New York, P.C. CurrentSince Dec 18, 2010 Accepting new patients
Physicians Immediate Care North Chicago LLC CurrentSince Oct 30, 2023 Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Aug 1, 2023 Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince Aug 1, 2023 Accepting new patients
Hometown Urgent Care of Michigan, P.C. Current Accepting new patients
Lowville Medical Associates LLP CurrentSince Nov 1, 2014 Accepting new patients
Pic Indiana PC CurrentSince May 20, 2024 Accepting new patients
Wellnow Urgent Care Practice, PC PastSince Aug 1, 2025 Accepting new patients

Locations (25 of 30)

121 W North Ave
Chicago, IL 60610
Phone (312) 643-5606

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

6140 N Broadway St
Chicago, IL 60660
Phone (224) 795-3521

800 W Fulton Market
Fl 12
Chicago, IL 60607

515 Belt Line Rd
Collinsville, IL 62234
Phone (618) 344-7882

13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384

3475 S Alpine Rd
Rockford, IL 61109
Phone (815) 713-2717

3800 S Scatterfield Rd
Anderson, IN 46013
Phone (765) 203-2051

1113 W 7th St
Auburn, IN 46706
Phone (260) 909-5163

123 S Franklin Rd
Bloomington, IN 47404
Phone (812) 339-2305

1124 S 13th St
Decatur, IN 46733
Phone (260) 706-5039

924 W Pike St
Goshen, IN 46526
Phone (574) 312-7056

4903 S Emerson Ave
Indianapolis, IN 46203
Phone (317) 352-5582

1010 S Reed Rd
Kokomo, IN 46901
Phone (765) 252-2176

102 Sagamore Pkwy S
Lafayette, IN 47905
Phone (765) 237-3224

630 Birk Rd
Martinsville, IN 46151
Phone (765) 341-2091

505 W Cleveland Rd
Mishawaka, IN 46545
Phone (574) 235-3135

1313 W McGalliard Rd
Muncie, IN 47303
Phone (765) 216-3115

1245 E Ireland Rd
South Bend, IN 46614
Phone (574) 312-7022

2680 Escalade Way
Warsaw, IN 46582
Phone (574) 306-4128

1131 M 32 W
Alpena, MI 49707
Phone (989) 250-1925

25 Columbia Ave E
Battle Creek, MI 49015
Phone (269) 425-3017

1803 M 139
Benton Harbor, MI 49022
Phone (269) 487-3021

1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835

5402 Dayan St
Lowville, NY 13367
Phone (315) 376-4600

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

NPI Registry JSON

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1285955807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8782 WOODGATE DR",
            "city": "BOONVILLE",
            "state": "NY",
            "postal_code": "133095267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8782 WOODGATE DR",
            "city": "BOONVILLE",
            "state": "NY",
            "postal_code": "133095267",
            "telephone_number": "315-942-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUHA",
        "first_name": "MELISSA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-17",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11016501",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "336323",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "15703-33",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.028204",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "CNP.0033903",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704404316",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP032186",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71014995A",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28281566A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boonville, NY

Sources for this page

Verify at the official NPI Registry.