Active NPI
Melissa N Moore-Colvert, PA
- Physician Assistant
- Enid, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1976
- Practice address
- 3201 N Van Buren St Ste 350
Enid, OK 73703-1814 - Phone
- (580) 366-0844
- Fax
- (580) 297-5197
- NPI assigned
- Jan 19, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1976 | OK | Primary |
Addresses
Primary practice location
3201 N Van Buren St Ste 350
Enid, OK 73703-1814
Mailing address
3201 N Van Buren St Ste 350
Enid, OK 73703-1814
Phone (580) 366-0844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Other | OK | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3200 Quail Springs Pkwy
Suite 200
Oklahoma City, OK 73134-2699
Phone (405) 241-3539
Hospital & facility affiliations
- Integris Health Enid Hospital
- St Mary'S Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.24 of 100
- Quality
- 59.04
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 74.25
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. John Physicians, Inc | Current | Accepting new patients | |
| Allergy Partners, PLLC | Past | Accepting new patients | |
| St. John Physicians, Inc. | Past | Accepting new patients |
Locations
1000 W Boise Cir
Broken Arrow, OK 74012
Phone (918) 994-8000
1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585
1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660
Interoperability endpoints
- melissa.colvert.1@23723.direct.athenahealth.com
- melissa.colvert.p1@direct.ahgcardiology.nextgenshare.com
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- Oklahoma City, OK
- NPI 1215324553
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1336194406
-
- Rural Health Clinic/Center
- Barnsdall, OK
- NPI 1033176367
-
- Allergy & Immunology Physician
- Greenville, SC
- NPI 1215927462
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Enid, OK
- NPI 1144236571
-
- General Acute Care Hospital
- Enid, OK
- NPI 1417947466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574208000000",
"number": "1447555628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 N VAN BUREN ST STE 350",
"city": "ENID",
"state": "OK",
"postal_code": "737031814",
"telephone_number": "580-366-0844",
"fax_number": "580-297-5197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 N VAN BUREN ST STE 350",
"city": "ENID",
"state": "OK",
"postal_code": "737031814",
"telephone_number": "580-366-0844",
"fax_number": "580-297-5197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE-COLVERT",
"first_name": "MELISSA",
"middle_name": "N",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-19",
"last_updated": "2019-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "1976",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "PENDING",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Enid, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.