Melanie J Kimmery, ANP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

NURU824 Issued in AK

Practice address

1001 E Bogard Rd
Wasilla, AK 99654-7114

Phone

(907) 373-2225

Fax

(907) 376-9225

NPI assigned

Sep 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

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

Specialty

Nurse Practitioner

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Seward Community Health Center IncGroup PAC ID 6800025768, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mat-Su Regional Medical Center Hospital, Palmer, AK, CCN 020006
• Providence Seward Hospital Hospital, Seward, AK, CCN 021302

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Seward Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Seward, AK
  • NPI 1356772024
  Medicare reassignment Care Compare group NPD
• Palmer Family Medicine Inc

  • Family Medicine Physician
  • Palmer, AK
  • NPI 1356368054
  Medicare reassignment NPD
• Family Health Center, PC

  • Family Nurse Practitioner
  • Palmer, AK
  • NPI 1336274778
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• City of Seward

  • Critical Access Hospital
  • Seward, AK
  • NPI 1396858155
  Care Compare affiliation
• Mat-Su Valley Medical Center LLC

  • General Acute Care Hospital
  • Palmer, AK
  • NPI 1417975061
  Care Compare affiliation

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1366548877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E BOGARD RD",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547114",
            "telephone_number": "907-373-2225",
            "fax_number": "907-376-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E BOGARD RD",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547114",
            "telephone_number": "907-373-2225",
            "fax_number": "907-376-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMERY",
        "first_name": "MELANIE",
        "middle_name": "J",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "824",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AK",
            "license": "NURU824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra E Kilanowski
• Madeline Kilby-Orr, RN
• Mariah Carmilita Kile
• Breanna Kilmartin, LCSW
• Yong Bin Kim, DPT, PT
• Jennifer Kimzey
• Leah Marie Kincaid
• Hailey Maddison Kincheloe, LMT
• Canyon King
• Elisa King

• Primary Care Nurse Practitioner in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Primary Care Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.