Individual provider Active NPI

Melissa Rene Czapka, NP-C

  • Nurse Practitioner
  • Dayton, WA
National Provider Identifier
1376072553
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60757409 Issued in WA
Practice address
1012 S 3Rd St
Dayton, WA 99328-1606
Phone
(509) 382-2531
NPI assigned
Jun 9, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 AP60757409 WA Primary

Addresses

Primary practice location

1012 S 3Rd St
Dayton, WA 99328-1606

Mailing address

507 S 4TH St
Dayton, WA 99328-1405
Phone (509) 386-4259

Other practice location 1

507 S 4th St
Dayton, WA 99328-9932
Phone (509) 386-4259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20170705003483 WA Practitioner - Nurse Practitioner 8123397247 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia County Hospital District CurrentSince Jan 1, 2026 Accepting new patients
Columbia County Hospital District CurrentSince Jun 9, 2017 Accepting new patients
Columbia County Hospital District CurrentSince Jun 9, 2017 Accepting new patients

Locations

295 S College Ave
#1
College Place, WA 99324
Phone (509) 382-2531

1012 S 3rd St
Dayton, WA 99328
Phone (509) 382-2531

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1376072553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 S 4TH ST",
            "city": "DAYTON",
            "state": "WA",
            "postal_code": "993281405",
            "telephone_number": "509-386-4259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 S 3RD ST",
            "city": "DAYTON",
            "state": "WA",
            "postal_code": "993281606",
            "telephone_number": "509-382-2531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "507 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "WA",
            "postal_code": "993289932",
            "country_code": "US",
            "telephone_number": "509-386-4259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CZAPKA",
        "first_name": "MELISSA",
        "middle_name": "RENE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60757409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, WA

Sources for this page

Verify at the official NPI Registry.