Active NPI
Melissa Okeefe, PAC
- Physician Assistant
- Harvey, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1230-23
- Practice address
- 1 Ingalls Dr
Harvey, IL 60426-3558 - Phone
- (708) 333-2300
- NPI assigned
- May 22, 2007
- Last updated
- Aug 17, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085000990 | IL | |
| Physician Assistant | 363A00000X | 1230-23 | WI | Primary |
Addresses
Primary practice location
1 Ingalls Dr
Harvey, IL 60426-3558
Mailing address
2000 Spring Rd
Suite 200
Oak Brook, IL 60523-1804
Phone (630) 472-8810
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 970020703 | Other | RR MED |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6308 8TH Ave
Kenosha, WI 53143-5031
Phone (262) 771-0073
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.74 of 100
- Quality
- 73.23
- Improvement activities
- 40
- Cost
- 82.42
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.15 of 100
- Quality
- 69.39
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.44
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Froedtert South, Inc. | Current | Accepting new patients | |
| Vituity-Wisconsin Em SC | Current | Accepting new patients | |
| Emergency Medicine Physicians of Kankakee County, LLC | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663
1726 Shawano Ave
Green Bay, WI 54303
Phone (920) 432-6016
835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246
6308 8th Ave
Kenosha, WI 53143
Phone (262) 653-5300
855 S Main St
Oconto Falls, WI 54154
Phone (920) 846-3444
855 S Main St
Ste 1
Oconto Falls, WI 54154
Phone (920) 846-8187
9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000
3100 Superior Ave
Sheboygan, WI 53081
Phone (800) 472-6710
Interoperability endpoints
- mokeefeswartz595203@direct.froedtert.com
Organizations & group practices 8
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.
-
dba Froedtert South Medical Group
- Family Medicine Physician
- Kenosha, WI
- NPI 1558305284
-
- Emergency Medicine Physician
- Calumet City, IL
- NPI 1184281651
-
dba Ascension Calumet Hospital
- Critical Access Hospital
- Chilton, WI
- NPI 1376541748
-
- Emergency Medicine Physician
- Mount Pleasant, WI
- NPI 1598102717
-
- Emergency Medicine Physician
- Pleasant Prairie, WI
- NPI 1326730664
-
- Hospitalist Physician
- Pleasant Prairie, WI
- NPI 1679265912
-
- Emergency Medicine Physician
- Oconto Falls, WI
- NPI 1710754296
-
- Emergency Medicine Physician
- Kankakee, IL
- NPI 1689815318
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pleasant Prairie, WI
- NPI 1003831132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692230400000",
"number": "1376753319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 SPRING RD",
"address_2": "SUITE 200",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231804",
"telephone_number": "630-472-8810",
"fax_number": "630-472-0907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 INGALLS DR",
"city": "HARVEY",
"state": "IL",
"postal_code": "604263558",
"telephone_number": "708-333-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKEEFE",
"first_name": "MELISSA",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2023-08-17",
"certification_date": "2023-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085000990",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "1230-23",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MED",
"identifier": "970020703",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Harvey, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.