Individual provider Active NPI

Melanie King, APRN-C

  • Family Nurse Practitioner
  • Hays, KS
National Provider Identifier
1487903977
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
75704 Issued in KS
Practice address
600 Park St
Student Health Center
Hays, KS 67601-4009
Phone
(785) 628-4293
Fax
(785) 628-4089
NPI assigned
Aug 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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 75704 KS Primary

Addresses

Primary practice location

600 Park St
Student Health Center
Hays, KS 67601-4009

Mailing address

600 Park St.
Ll045Mu
Hays, KS 67601-4009
Phone (785) 628-4293

Other names 1

  • Melanie Heimerman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20130509000104 KS Practitioner - Nurse Practitioner 3072750165 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75704KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Hays State University CurrentSince Feb 6, 2013 Accepting new patients
Fort Hays State University Current Accepting new patients
Fort Hays State University CurrentSince Feb 6, 2013 Accepting new patients

Locations

600 Park St
Ste 131
Hays, KS 67601
Phone (785) 628-5366

600 Park St
Hays, KS 67601
Phone (785) 628-4293

600 Park St
#45
Hays, KS 67601
Phone (785) 628-4293

600 Park St
#301
Hays, KS 67601
Phone (785) 628-4401

Organizations & group practices 3

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": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1487903977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PARK ST.",
            "address_2": "LL045MU",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676014009",
            "telephone_number": "785-628-4293",
            "fax_number": "785-628-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PARK ST",
            "address_2": "STUDENT HEALTH CENTER",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676014009",
            "telephone_number": "785-628-4293",
            "fax_number": "785-628-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "MELANIE",
        "credential": "APRN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-30",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "75704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "HEIMERMAN",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hays, KS

Sources for this page

Verify at the official NPI Registry.