Melissa Anne Pickett, ACNS-BC

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

License

2010016429 Issued in MO

Practice address

910 N College Ave Ste 4
Columbia, MO 65201-4797

Phone

(636) 642-1215

Fax

(573) 234-4799

NPI assigned

Jan 20, 2011

Last updated

Oct 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Certified Clinical Nurse Specialist (CNS)

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Senior Care of Missouri IncGroup PAC ID 1052853421, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Boone Hospital Center Hospital, Columbia, MO, CCN 260068
• Arrowhead Senior Living Community Nursing home, Osage Beach, MO, CCN 265876
• Neighborhoods Rehabilitation and Skilled Nursing B Nursing home, Columbia, MO, CCN 265840

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Master of Science

State licenses

Practice roles

Locations

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.

• Advanced Senior Care of Missouri Inc

  dba Advanced Senior Care

  • Internal Medicine Physician
  • Columbia, MO
  • NPI 1245087295
  Medicare reassignment Care Compare group NPD
• Premier Wound Care of the Midwest

  • Family Medicine Physician
  • Parkville, MO
  • NPI 1114740115
  Authorized official Same address or phone
• Institute for Research and Education in Family Medicine

  dba IFM Community Medicine

  • Family Medicine Physician
  • Saint Louis, MO
  • NPI 1972567923
  NPD (past)

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

• Arrowhead Retirement Operations LLC

  dba Arrowhead Retirement Community

  • Skilled Nursing Facility
  • Osage Beach, MO
  • NPI 1982172342

  Nursing home

  Care Compare affiliation
• CH Allied Services, Inc

  dba Boone Hospital Center

  • Cardiac Rehabilitation Clinic/Center
  • Columbia, MO
  • NPI 1548734734

  Hospital

  Care Compare affiliation
• CH Allied Services, Inc.

  dba Boone Hospital Center

  • General Acute Care Hospital
  • Columbia, MO
  • NPI 1902817844
  Care Compare affiliation
• Tiger Place, LLC

  dba The Neighborhoods Rehabilitation & Skilled Nursing by TigerPlace

  • Skilled Nursing Facility
  • Columbia, MO
  • NPI 1821044132

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1548565666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 LAKE VILLAGE RD",
            "city": "ELDON",
            "state": "MO",
            "postal_code": "650265633",
            "telephone_number": "573-216-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 N COLLEGE AVE STE 4",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652014797",
            "telephone_number": "636-642-1215",
            "fax_number": "573-234-4799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652120001",
            "country_code": "US",
            "telephone_number": "573-882-1855",
            "fax_number": "573-884-4965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2101 Corona Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652032582",
            "country_code": "US",
            "telephone_number": "573-882-1855",
            "fax_number": "573-884-4965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICKETT",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "credential": "ACNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-20",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "120761",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "MO",
            "license": "2010016429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physician Groups LC (Boone Convenient Care)
• Physician Groups LC (Boone Pulmonary Medicine)
• Physician Groups LC (Boone Primary Care Physicians)
• Physicians Home Health & Infusion PC
• Laura Janine Pickard, DPM
• Dan L Pierce, M.D.
• David Pierre Jr., D.O.
• Jane Jeffries Piester
• Carrie Pike, RN
• Juan Jose Pineda, M.D.

• Adult Health Clinical Nurse Specialist in Columbia, MO
• Providers in Columbia, MO by specialty
• Adult Health Clinical Nurse Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.