Individual provider Active NPI

Melissa Kay Edwards

  • Family Nurse Practitioner
  • Decatur, IL
National Provider Identifier
1578073680
Registry record updated Nov 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.016849 Issued in IL
Practice address
2965 N Main St Ste F
Decatur, IL 62526-4392
Phone
(217) 875-7847
NPI assigned
Oct 3, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 10

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 4

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HSHS Medical Group Inc 212 clinicians

Practice addresses (Care Compare)

2965 N Main St E
HSHS Medical Group Internal Medicine N Deca
Decatur, IL 62526-4392
Phone (217) 875-7818

Hospital & facility affiliations

  • HSHS Home Care Illinois Home health agency, Effingham, IL, CCN 147661
  • St Marys Hospital Hospital, Decatur, IL, CCN 140166
  • St Johns Hospital Hospital, Springfield, IL, CCN 140053
  • Decatur Memorial Hospital Hospital, Decatur, IL, CCN 140135

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as apm
Quality
69.5
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.81 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20171222000325 IL Practitioner - Nurse Practitioner 2668730516 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.016849ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HSHS Medical Group Inc CurrentSince Nov 20, 2017 Accepting new patients
HSHS Medical Group Inc CurrentSince Nov 20, 2017 Accepting new patients
HSHS Medical Group Inc Past Accepting new patients

Locations

2965 N Main St
Ste F
Decatur, IL 62526
Phone (217) 875-7847

1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889

4965 E Lost Bridge Rd
Decatur, IL 62521
Phone (217) 321-9321

2965 N Main St
Ste E
Decatur, IL 62526
Phone (217) 422-6100

3051 Hollis Dr
Fl 2
Springfield, IL 62704
Phone (217) 321-9321

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.016849 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

2965 N Main St Ste F
Decatur, IL 62526-4392

Mailing address

2965 N Main St
Decatur, IL 62526-4392
Phone (217) 875-7847

Other names 1

NPPES NPI Registry
  • Melissa Guymon Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 7, 2017.

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510012800000",
    "number": "1578073680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2965 N MAIN ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264392",
            "telephone_number": "217-875-7847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 N MAIN ST STE F",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264392",
            "telephone_number": "217-875-7847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "MELISSA",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-03",
        "last_updated": "2017-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.016849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "GUYMON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.