NPIMap

Individual provider Active NPI

Melissa Bartling, M.D.

  • Family Medicine Physician
  • Gregory, SD
National Provider Identifier
1427017607
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5874 Issued in SD
Practice address
110 S Logan Ave Ste a
Gregory, SD 57533-1614
Phone
(605) 835-9611
Fax
(605) 835-8033
NPI assigned
Mar 17, 2006
Last updated
Mar 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5874 SD Primary

Addresses

Primary practice location

110 S Logan Ave Ste a
Gregory, SD 57533-1614

Mailing address

110 S Logan Ave Ste a
Gregory, SD 57533-1614
Phone (605) 835-9611

Other identifiers 1

IdentifierTypeStateIssuer
5605590MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, NE2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070205000698 SD Practitioner - Family Practice 1254333115 Reassigns benefits to 2 organizations
I20210629000203 NE Practitioner - Family Practice 1254333115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, shared by 52 NPIs, 957 clinicians

Practice addresses (Care Compare)

110 S Logan Ave
Suite a
Gregory, SD 57533-1614
Phone (605) 835-9611

400 Park Ave
Gregory, SD 57533-1302
Phone (605) 835-8394

405 Whittecar Ave
Gregory, SD 57533-1340
Phone (605) 835-9611

730 Wilson St
Avera Butte Clinic
Butte, NE 68722-3550
Phone (605) 835-9611

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5874SDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Jan 3, 2011 Accepting new patients
Avera McKennan Current Accepting new patients
Avera McKennan Family Medicine CurrentSince Jan 3, 2011 Accepting new patients
Avera McKennan CurrentSince Mar 9, 2021 Accepting new patients
Avera McKennan Current Accepting new patients
Avera McKennan Family Medicine Past Accepting new patients

Locations

110 S Logan Ave
Ste A
Gregory, SD 57533
Phone (605) 835-8394

610 Billars St
Scotland, SD 57059
Phone (605) 583-2226

Interoperability endpoints

  • Direct secure messaging: melissa.bartling@avera.sdhealthlink.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Avera Rosebud Country Care CenterGregory, SD, CCN 435029 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Sep 1, 2006
Sep 1, 2006

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Avera McKennan

    dba Avera Rosebud Country Care Center

    • Skilled Nursing Facility
    • Gregory, SD
    • NPI 1952330706

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

Organizations & group practices 6

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.

Hospital & facility affiliations 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1427017607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S LOGAN AVE STE A",
            "city": "GREGORY",
            "state": "SD",
            "postal_code": "575331614",
            "telephone_number": "605-835-9611",
            "fax_number": "605-835-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S LOGAN AVE STE A",
            "city": "GREGORY",
            "state": "SD",
            "postal_code": "575331614",
            "telephone_number": "605-835-9611",
            "fax_number": "605-835-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLING",
        "first_name": "MELISSA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "5874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5605590",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gregory, SD

Sources for this page

Verify at the official NPI Registry.