Individual provider Active NPI

Melissa Zipprich, PA

  • Medical Physician Assistant
  • Hardin, IL
National Provider Identifier
1457518847
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
036069786 Issued in IL
Practice address
2 Myrtle
Hardin, IL 62047-1002
Phone
(618) 576-9407
Fax
(618) 576-2260
NPI assigned
May 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 036069786 IL Primary

Addresses

Primary practice location

2 Myrtle
Hardin, IL 62047-1002

Mailing address

390 Maple Summit Rd
Jerseyville, IL 62052-2000
Phone (618) 498-7518

Other practice location 1

903 S State St
Jerseyville, IL 62052-2344
Phone (618) 639-9255

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mzipprich@jch.cernerdirect.com Health Information Exchange (HIE)
Direct Messaging Address mzipprich@jch.cernerdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20110126001143 IL Practitioner - Physician Assistant 0840479515 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jersey Community HospitalGroup PAC ID 4587650445, 62 clinicians

Practice addresses (Care Compare)

2 Myrtle
Hardin, IL 62047-1002
Phone (618) 576-9407

400 Maple Summit Rd
Jerseyville, IL 62052-2028
Phone (618) 498-6402

Hospital & facility affiliations

  • Calhoun County Health Department Home health agency, Hardin, IL, CCN 147052
  • Apollo Medical Home health agency, Saint Louis, MO, CCN 267580
  • Jersey Community Hospital Hospital, Jerseyville, IL, CCN 140059
  • Thomas H Boyd Memorial Hospital Hospital, Carrollton, IL, CCN 141300
  • Osf Saint Anthony'S Health Center Hospital, Alton, IL, CCN 140052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Community Hospital District CurrentSince Aug 31, 2011 Accepting new patients
Cepamerica Illinois LLP CurrentSince Jan 17, 2012 Accepting new patients
Cepamerica Illinois LLP CurrentSince Jan 17, 2012 Accepting new patients
Jersey Community Hospital CurrentSince Aug 31, 2011 Accepting new patients
Jersey Community Hospital Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

103 McCausland St
Carlinville, IL 62626
Phone (217) 854-2623

2 Myrtle
Hardin, IL 62047
Phone (618) 498-7383

106 S Water St
Hardin, IL 62047
Phone (618) 576-9407

390 Maple Summit Rd
Jerseyville, IL 62052
Phone (618) 498-2101

903 S State St
Jerseyville, IL 62052
Phone (618) 498-8806

400 Maple Summit Rd
Jerseyville, IL 62052
Phone (618) 498-6402

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1457518847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 MAPLE SUMMIT RD",
            "city": "JERSEYVILLE",
            "state": "IL",
            "postal_code": "620522000",
            "telephone_number": "618-498-7518",
            "fax_number": "618-498-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MYRTLE",
            "city": "HARDIN",
            "state": "IL",
            "postal_code": "620471002",
            "telephone_number": "618-576-9407",
            "fax_number": "618-576-2260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "903 S State St",
            "address_purpose": "LOCATION",
            "city": "Jerseyville",
            "state": "IL",
            "postal_code": "620522344",
            "country_code": "US",
            "telephone_number": "618-639-9255",
            "fax_number": "618-639-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIPPRICH",
        "first_name": "MELISSA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "036069786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mzipprich@jch.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "HIE JERSEY",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2 Myrtle",
            "city": "Hardin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "620471002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mzipprich@jch.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "HIE JERSEY",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "903 S State St",
            "city": "Jerseyville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "620522344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hardin, IL

Sources for this page

Verify at the official NPI Registry.