Individual provider Active NPI

Melissa K Belles, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, MO
National Provider Identifier
1356697114
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2019045928 Issued in MO
Practice address
2101 Corona Rd Ste 102
Columbia, MO 65203-2582
Phone
(573) 234-1800
NPI assigned
Jul 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2012025822 MO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2019045928 MO Primary

Addresses

Primary practice location

2101 Corona Rd Ste 102
Columbia, MO 65203-2582

Mailing address

2101 Corona Rd Ste 102
Columbia, MO 65203-2582
Phone (573) 234-1800

Other practice location 1

440 E Tampa St
Springfield, MO 65806-1131
Phone (417) 831-0150

Other practice location 2

618 N Benton Ave
Springfield, MO 65806-1102
Phone (417) 851-1563

Other identifiers 3

IdentifierTypeStateIssuer
1356697114MedicaidMO
2019045928OtherMOLICENSE
2012025822OtherMOLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Melissa.Belles@BHM.gehrimeddirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, NE2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20121002000644 MO Practitioner - Nurse Practitioner 7416106752 Reassigns benefits to 1 organization
I20240229003407 NE Practitioner - Nurse Practitioner 7416106752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centerpointe IncGroup PAC ID 8123063237, 11 clinicians

Practice addresses (Care Compare)

2202 S 11TH St
Lincoln, NE 68502-3559
Phone (402) 475-5161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2019045928MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centerpointe, Inc. CurrentSince Jan 24, 2024 Accepting new patients
Advocates for a Healthy Community Inc CurrentSince Aug 1, 2017 Accepting new patients
Advocates for a Healthy Community, Inc CurrentSince Aug 1, 2017 Accepting new patients

Locations

618 N Benton Ave
Springfield, MO 65806
Phone (417) 851-1563

440 E Tampa St
Springfield, MO 65806
Phone (417) 831-0191

2633 P St
Lincoln, NE 68503
Phone (402) 475-5161

2202 S 11th St
Lincoln, NE 68502
Phone (402) 475-5161

Interoperability endpoints

  • Direct secure messaging: melissa.belles@bhm.gehrimeddirect.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1356697114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 CORONA RD STE 102",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652032582",
            "telephone_number": "573-234-1800",
            "fax_number": "417-831-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 CORONA RD STE 102",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652032582",
            "telephone_number": "573-234-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 E Tampa St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658061131",
            "country_code": "US",
            "telephone_number": "417-831-0150",
            "fax_number": "417-831-8033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "618 N Benton Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658061102",
            "country_code": "US",
            "telephone_number": "417-851-1563",
            "fax_number": "417-831-8033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELLES",
        "first_name": "MELISSA",
        "middle_name": "K",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2012025822",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2019045928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356697114",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2019045928",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2012025822",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Melissa.Belles@BHM.gehrimeddirect.com",
            "affiliation": "N",
            "address_1": "2101 Corona Rd Ste 102",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652032582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.