Individual provider Active NPI

Sara Melvin, FNP-C

  • Family Nurse Practitioner
  • Mansfield, MO
National Provider Identifier
1316833940
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2025023382 Issued in MO
Practice address
304 W Commercial St
Mansfield, MO 65704-9527
Phone
(417) 924-3066
Fax
(417) 924-3925
NPI assigned
Jun 18, 2025
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2025023382 MO Primary

Addresses

Primary practice location

304 W Commercial St
Mansfield, MO 65704-9527

Mailing address

PO Box 865
Ava, MO 65608-0865
Phone (417) 683-6790

Other practice location 1

1100 N Kentucky Ave
West Plains, MO 65775-2029
Phone (417) 256-9111

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251211002877 MO Practitioner - Nurse Practitioner 8820582331 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mansfield Clinic IncGroup PAC ID 3971413360, 8 clinicians

Practice addresses (Care Compare)

304 W Commercial St
Mansfield, MO 65704-9527
Phone (417) 924-3066

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025023382MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Walk in Clinic of Mountain Grove Inc CurrentSince Jun 1, 2026 Accepting new patients
Mansfield Clinic, Inc. CurrentSince Sep 14, 2025 Accepting new patients
Mansfield Clinic, Inc. CurrentSince Sep 14, 2025 Accepting new patients

Locations

120 W Lincoln Ave
Ava, MO 65608
Phone (417) 683-6790

304 W Commercial St
Mansfield, MO 65704
Phone (417) 924-3066

205 W 3rd St
Ste 3
Mountain Grv, MO 65711
Phone (417) 924-3066

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1316833940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 865",
            "city": "AVA",
            "state": "MO",
            "postal_code": "656080865",
            "telephone_number": "417-683-6790",
            "fax_number": "417-683-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W COMMERCIAL ST",
            "city": "MANSFIELD",
            "state": "MO",
            "postal_code": "657049527",
            "telephone_number": "417-924-3066",
            "fax_number": "417-924-3925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 N Kentucky Ave",
            "address_purpose": "LOCATION",
            "city": "West Plains",
            "state": "MO",
            "postal_code": "657752029",
            "country_code": "US",
            "telephone_number": "417-256-9111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELVIN",
        "first_name": "SARA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-18",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2025023382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, MO

Sources for this page

Verify at the official NPI Registry.