Individual provider Active NPI

Melissa Nolan Hartsfield

  • Occupational Therapist
  • Vancleave, MS
National Provider Identifier
1457894255
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT0042 Issued in MS
Practice address
6300 E Lake Blvd Ste 101
Vancleave, MS 39565-6771
Phone
(228) 215-2240
Fax
(228) 215-2241
NPI assigned
Nov 28, 2016
Last updated
Aug 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT0042 MS Primary

Addresses

Primary practice location

6300 E Lake Blvd Ste 101
Vancleave, MS 39565-6771

Mailing address

6300 E Lake Blvd
Suite 301
Vancleave, MS 39565-6770
Phone (228) 230-2663

Other practice location 1

15476 Dedeaux Rd Ste A
Gulfport, MS 39503-2637
Phone (228) 215-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170201001781 MS Practitioner - Occupational Therapist in Private Practice 9537442355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2781 C T Switzer Sr Dr
Suite 404
Biloxi, MS 39531-4535
Phone (228) 205-3676

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT0042MSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Center of Ocean Springs, LLC CurrentSince Dec 4, 2024 Accepting new patients
Physical Therapy Center of Ocean Springs, LLC Occupational Therapist CurrentSince Dec 4, 2024 Accepting new patients

Locations

2781 C T Switzer SR Dr
Ste 404
Biloxi, MS 39531
Phone (228) 205-3676

900 Holcomb Blvd
#A
Ocean Springs, MS 39564
Phone (228) 872-6821

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1457894255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 E LAKE BLVD",
            "address_2": "SUITE 301",
            "city": "VANCLEAVE",
            "state": "MS",
            "postal_code": "395656770",
            "telephone_number": "228-230-2663",
            "fax_number": "228-206-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 E LAKE BLVD STE 101",
            "city": "VANCLEAVE",
            "state": "MS",
            "postal_code": "395656771",
            "telephone_number": "228-215-2240",
            "fax_number": "228-215-2241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15476 Dedeaux Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395032637",
            "country_code": "US",
            "telephone_number": "228-215-0700",
            "fax_number": "228-215-0788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTSFIELD",
        "first_name": "MELISSA",
        "middle_name": "NOLAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-28",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT0042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancleave, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.