Melissa Jane Maerz-Malone, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

2002022027 Issued in MO

Practice address

6336 Algoa Rd Ste 200
Jefferson City, MO 65101-9877

Phone

(573) 632-1321

NPI assigned

Apr 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Premise Health of Missouri Medical P C

  dba Scholastic Wellness Center Jefferson City

  • Primary Care Clinic/Center
  • Jefferson City, MO
  • NPI 1629372388
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236902400000",
    "number": "1497978399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 WOODBERRY CT",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652036653",
            "telephone_number": "573-514-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6336 ALGOA RD STE 200",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651019877",
            "telephone_number": "573-632-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAERZ-MALONE",
        "first_name": "MELISSA",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2009-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2002022027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa (Terry) Rose Lyskowski, P.T.
• Leota R Maag, RN, CDE
• Matthew Bryant Maasen, DPT
• Joann Mace, MD
• Dana Madsen Calcutt, DO
• Rebecca E Mahon, RN
• Sara Mallinckrodt, RD
• Tana Malotte
• Mark A Manary, O.D.
• Deanna Marie Mantle

• Adult Health Nurse Practitioner in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Adult Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.