Individual provider Active NPI

Kristie A Melvin, ARNP, DNP

  • Family Nurse Practitioner
  • Clinton, IA
National Provider Identifier
1356827802
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12110-33 Issued in WI
Practice address
915 13TH Ave N
Clinton, IA 52732-5099
Phone
(563) 243-2511
NPI assigned
Jul 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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 12110-33 WI Primary

Addresses

Primary practice location

915 13TH Ave N
Clinton, IA 52732-5099

Mailing address

419 N Oak St
Adams, WI 53910-9401
Phone (608) 339-5250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, WI2 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
I20180813001851 IA Practitioner - Nurse Practitioner 6800144569 Reassigns benefits to 1 organization
I20230117001834 WI Practitioner - Nurse Practitioner 6800144569 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus Riverview Hospital and Clinics IncGroup PAC ID 4587658182, 166 clinicians
Aspirus Medical Group, Inc.Group PAC ID 1052223625, 272 clinicians

Practice addresses (Care Compare)

2031 Peach St
Wisconsin Rapids, WI 54494-5181
Phone (715) 423-0122

4005 Community Ctr Dr
Weston, WI 54476-4139
Phone (715) 241-5400

410 Dewey St
Wisconsin Rapids, WI 54494-4715
Phone (715) 423-6060

419 N Oak St
Adams, WI 53910-9401
Phone (608) 339-5250

420 Dewey St
Wisconsin Rapids, WI 54494-4714
Phone (715) 422-7750

Hospital & facility affiliations

  • Aspirus Riverview Hospital & Clinics Inc Hospital, Wisconsin Rapids, WI, CCN 520033
  • Gundersen Moundview Hospital and Clinics Hospital, Friendship, WI, CCN 521309
  • Aspirus Divine Savior Hospital Hospital, Portage, WI, CCN 520041

Merit-based Incentive Payment System (MIPS)

Final score
87.53 of 100Reported as group
Quality
77.62
Promoting interoperability
100
Improvement activities
40
Cost
78.08

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as group
Quality
87.9
Promoting interoperability
100
Improvement activities
40
Cost
73.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12110-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Riverview Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Jun 18, 2023 Accepting new patients
Mercy Specialty Clinic Current Accepting new patients
Mercy Specialty Clinic CurrentSince Jul 1, 2019 Accepting new patients
Mercy Specialty Clinic CurrentSince Jul 1, 2019 Accepting new patients
Aspirus Wausau Hospital Inc CurrentSince Aug 11, 2023 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Feb 13, 2023 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Aug 11, 2023 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Jun 18, 2023 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Aug 11, 2023 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Feb 13, 2023 Accepting new patients
Aspirus Wausau Hospital, Inc. Current Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Aug 11, 2023 Accepting new patients
Aspirus Medical Group, Inc. Current Accepting new patients

Locations

2400 Lillian Way
Clinton, IA 52732
Phone (563) 243-1200

915 13th Ave N
Clinton, IA 52732
Phone (319) 243-2511

29980 Network Pl
Chicago, IL 60673

419 N Oak St
Adams, WI 53910
Phone (608) 339-5250

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

5409 Vern Holmes Dr
Stevens Point, WI 54482
Phone (715) 342-1015

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

2720 Plaza Dr
Ste 1100
Wausau, WI 54401
Phone (715) 847-2472

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400

420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474

Interoperability endpoints

  • Direct secure messaging: kmelvin194636@direct.aspirus.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 4

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": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1356827802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 N OAK ST",
            "city": "ADAMS",
            "state": "WI",
            "postal_code": "539109401",
            "telephone_number": "608-339-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 13TH AVE N",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527325099",
            "telephone_number": "563-243-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELVIN",
        "first_name": "KRISTIE",
        "middle_name": "A",
        "credential": "ARNP, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "12110-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IA

Sources for this page

Verify at the official NPI Registry.