Individual provider Active NPI

Melinda K Osborn, FNP

  • Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1508486804
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
904918 Issued in MS
Practice address
830 S Gloster St
Tupelo, MS 38801-4996
Phone
(662) 377-3000
NPI assigned
Apr 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R869795 MS
Nurse Practitioner 363L00000X 904918 MS Primary

Addresses

Primary practice location

830 S Gloster St
Tupelo, MS 38801-4996

Mailing address

18 County Road 182a
Corinth, MS 38834-7136
Phone (662) 415-2851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20220216000100 MS Practitioner - Nurse Practitioner 0143613117 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Mississippi Electrophysiology, LLCGroup PAC ID 5799068003, 7 clinicians

Practice addresses (Care Compare)

499 Gloster Creek VLG
Suite A2
Tupelo, MS 38801-4749
Phone (662) 620-6800

Hospital & facility affiliations

  • North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R869795MSMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Clinics Inc Current Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Sep 1, 2022 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
North Mississippi Electrophysiology, LLC CurrentSince Sep 1, 2022 Accepting new patients
North Mississippi Medical Clinics Inc CurrentSince Jan 11, 2022 Accepting new patients
North Mississippi Medical Center CurrentSince Sep 1, 2022 Accepting new patients
North Mississippi Medical Center Inc Current Accepting new patients
North Mississippi Medical Clinics Inc CurrentSince Jan 11, 2022 Accepting new patients
Amory Surgery Clinic, PLLC Past Accepting new patients

Locations

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

499 Gloster Creek Vlg
Ste A2
Tupelo, MS 38801
Phone (662) 620-6800

845 S Madison St
Tupelo, MS 38801
Phone (601) 790-5025

4381 S Eason Blvd
Ste 101
Tupelo, MS 38801
Phone (662) 377-4054

830 S Gloster St
Fl 3
Tupelo, MS 38801
Phone (662) 377-7170

Interoperability endpoints

  • Direct secure messaging: melindaosborn@nmhs.medalliesdirect.net

Organizations & group practices 9

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 1

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": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1508486804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 COUNTY ROAD 182A",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388347136",
            "telephone_number": "662-415-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 S GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014996",
            "telephone_number": "662-377-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "MELINDA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-16",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "R869795",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "904918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.