NPIMap

Individual provider Active NPI

Melissa Mutschelknaus, N.P.

  • Nurse Practitioner
  • Dover, OH
National Provider Identifier
1336329945
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2007008954 Issued in OH
Practice address
300 Medical Park Dr
Suite 205
Dover, OH 44622-2073
Phone
(330) 364-4600
Fax
(330) 364-3338
NPI assigned
Nov 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2007008954 OH Primary

Addresses

Primary practice location

300 Medical Park Dr
Suite 205
Dover, OH 44622-2073

Mailing address

300 Medical Park Dr
Suite 205
Dover, OH 44622-2073
Phone (330) 364-4600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100812000366 OH Practitioner - Nurse Practitioner 3870627854 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Medical Group, LLCGroup PAC ID 7719040385, 265 clinicians
Prime Healthcare Foundation - Coshocton, LLCGroup PAC ID 8820379662, 30 clinicians

Practice addresses (Care Compare)

23599 Airport Rd
Suite B
Coshocton, OH 43812-9276
Phone (740) 722-9555

6307 E State Rd
Newcomerstown, OH 43832-9063
Phone (740) 498-5515

Hospital & facility affiliations

  • Coshocton Regional Medical Center Hospital, Coshocton, OH, CCN 360109
  • Union Hospital Hospital, Dover, OH, CCN 360010
  • Genesis Hospital Hospital, Zanesville, OH, CCN 360039

Merit-based Incentive Payment System (MIPS)

Final score
71.97 of 100Reported as group
Quality
53.19
Improvement activities
40
Cost
86.77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2007008954OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Barrett Pain Associates, Inc CurrentSince Jan 1, 2019 Accepting new patients
Coshocton County Memorial Hospital Association Current Accepting new patients
Prime Healthcare Foundation - Coshocton LLC CurrentSince Dec 1, 2025 Accepting new patients
Prime Healthcare Foundation - Coshocton, LLC CurrentSince Dec 1, 2025 Accepting new patients
Kindra S. Browning, DO Corporation Past Accepting new patients
Anesthesia Care of Union Hospital, Inc. PastSince Aug 1, 2005 Accepting new patients

Locations

1801 W Olympic Blvd
Pasadena, CA 91199

1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919

311 S 15th St
Ste 101
Coshocton, OH 43812
Phone (740) 295-3360

844 Boulevard St
Dover, OH 44622
Phone (330) 473-6615

981 Wooster Rd
Millersburg, OH 44654
Phone (330) 674-1015

6307 E State Rd
Newcomerstown, OH 43832
Phone (740) 498-5515

Organizations & group practices 7

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 6

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": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1336329945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MEDICAL PARK DR",
            "address_2": "SUITE 205",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222073",
            "telephone_number": "330-364-4600",
            "fax_number": "330-364-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEDICAL PARK DR",
            "address_2": "SUITE 205",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222073",
            "telephone_number": "330-364-4600",
            "fax_number": "330-364-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTSCHELKNAUS",
        "first_name": "MELISSA",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-12",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "2007008954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, OH

Sources for this page

Verify at the official NPI Registry.