Melissa Marie Outman, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704284313 Issued in MI

Practice address

3322 E Beltline CT NE
Grand Rapids, MI 49525-9480

Phone

(616) 226-2669

NPI assigned

Dec 7, 2018

Sex

Female

Sole proprietor

No

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.

• Advanced Wound Care of Caro PC

  • Internal Medicine Physician
  • Caro, MI
  • NPI 1700666708

  MI, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Advanced Wound Care Specialists PC

  • Internal Medicine Physician
  • Caro, MI
  • NPI 1932082203

  MI, Nurse Practitioner

  Medicare reassignment NPD
• Samaritan Health Care, PC

  • Family Medicine Physician
  • Greenville, MI
  • NPI 1598234056

  MI

  Medicare reassignment NPD
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375

  MI, Nurse Practitioner

  Medicare reassignment NPD
• West Michigan Pain Center PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Grand Rapids, MI
  • NPI 1447973060

  MI

  Medicare reassignment NPD
• Samaritan Health Care PC

  • Rural Health Clinic/Center
  • Greenville, MI
  • NPI 1336865252
  NPD

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Wound Care of Caro PC 6 clinicians

Promed Preferred Mi 2 PLLC 9 clinicians

Practice addresses (Care Compare)

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

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 7, 2018.

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1326519950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14215 28TH ST",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493318658",
            "telephone_number": "301-356-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 E BELTLINE CT NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259480",
            "telephone_number": "616-226-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUTMAN",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-07",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704284313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Oumedian
• Our Hope Association
• Haley Outcalt, NP
• Austin Gresham Outlaw
• Outlook Chiropractic and Wellness
• Daniel Overbeek, M.D.
• Katherine Overbeek, OTRL
• Sarena Sue Overbeek
• Caitlin Overley
• Tyler Overley, MSW, LLMSW

• All providers in Grand Rapids, MI
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.