Individual provider Active NPI

Melissa Holcomb, FNP

  • Family Nurse Practitioner
  • Jefferson City, MO
National Provider Identifier
1437829918
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F06211555 Issued in MO
Practice address
1001 Southwest Blvd Ste 1
Jefferson City, MO 65109-2534
Phone
(573) 415-0269
NPI assigned
Sep 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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 F06211555 MO Primary

Addresses

Primary practice location

1001 Southwest Blvd Ste 1
Jefferson City, MO 65109-2534

Mailing address

17157 Audrain Road 980
Auxvasse, MO 65231-4004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20220223001391 MO Practitioner - Nurse Practitioner 0042604761 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Missouri, Columbia School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson City Medical Group PCGroup PAC ID 1850371089, 117 clinicians

Practice addresses (Care Compare)

1735 Elm CT
Jefferson City, MO 65101-4129
Phone (573) 634-4878

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F06211555MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Missouri LLC CurrentSince Nov 10, 2022 Accepting new patients
Jefferson City Medical Group, P.C. Current Accepting new patients
Providence Urgent Care LLC CurrentSince Jul 29, 2009 Accepting new patients
Jefferson City Medical Group, P.C. CurrentSince Dec 1, 2025 Accepting new patients
Jefferson City Medical Group, P.C. CurrentSince Dec 1, 2025 Accepting new patients
Jefferson City Medical Group, P.C. Current Accepting new patients
Jefferson City Medical Group, P.C. Past Accepting new patients

Locations

202 E Nifong Blvd
Columbia, MO 65203
Phone (573) 874-6824

200 Portland St
Columbia, MO 65201
Phone (573) 886-4600

3605 Country Club Dr
Jefferson City, MO 65109
Phone (573) 634-4878

1735 Elm Ct
Jefferson Cty, MO 65101
Phone (573) 634-4878

1241 W Stadium Blvd
Jefferson Cty, MO 65109
Phone (573) 556-5771

620 E Monroe St
Mexico, MO 65265
Phone (573) 582-5000

1055 Ozark Care Dr
Ste A
Osage Beach, MO 65065
Phone (573) 348-0825

5780 Osage Beach Pkwy
Osage Beach, MO 65065
Phone (573) 348-1566

3700 W 10th St
Ste 301
Sedalia, MO 65301
Phone (660) 827-2500

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1437829918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17157 AUDRAIN ROAD 980",
            "city": "AUXVASSE",
            "state": "MO",
            "postal_code": "652314004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SOUTHWEST BLVD STE 1",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651092534",
            "telephone_number": "573-415-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLCOMB",
        "first_name": "MELISSA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "F06211555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

Verify at the official NPI Registry.