Melinda K Pemberton, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP143639 Issued in TX

Practice address

901 Heartland Rd Ste 3800
Saint Joseph, MO 64506-6201

Phone

(816) 671-4800

Fax

(816) 233-4021

NPI assigned

Apr 7, 2010

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

Other identifiers 3

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

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heartland Regional Medical CenterGroup PAC ID 6709772767, 394 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mosaic Life Care Home Health Home health agency, Saint Joseph, MO, CCN 267064
• Freudenthal Home Health Home health agency, Saint Joseph, MO, CCN 267644
• Mosaic Life Care at St Joseph Hospital, Saint Joseph, MO, CCN 260006
• Mosaic Medical Center - Maryville Hospital, Maryville, MO, CCN 261340

Merit-based Incentive Payment System (MIPS)

Final score

84.76 of 100Reported as group

Quality

74.35

Promoting interoperability

100

Improvement activities

40

Cost

74.85

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: melinda.pemberton@direct.mymlc.com

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.

• Heartland Regional Medical Center

  • General Practice Physician
  • Saint Joseph, MO
  • NPI 1477575405
  Medicare reassignment Care Compare group
• Heartland Regional Medical Center

  • General Practice Physician
  • Saint Joseph, MO
  • NPI 1538200357
  NPD

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

• Freudenthal Home Health, LLC

  • Home Health Agency
  • Saint Joseph, MO
  • NPI 1619222395
  Care Compare affiliation
• Heartland Regional Medical Center

  • Home Health Agency
  • Saint Joseph, MO
  • NPI 1003916198
  Care Compare affiliation
• Heartland Regional Medical Center

  • General Acute Care Hospital
  • Saint Joseph, MO
  • NPI 1437259694
  Care Compare affiliation
• Mosaic Medical Center - Maryville

  • Critical Access Hospital
  • Maryville, MO
  • NPI 1265906663
  Care Compare affiliation

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1598080160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 FARAON ST STE 120",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063512",
            "telephone_number": "816-671-4800",
            "fax_number": "816-233-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 HEARTLAND RD STE 3800",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645066201",
            "telephone_number": "816-671-4800",
            "fax_number": "816-233-4021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 Haley Rd",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TX",
            "postal_code": "786364617",
            "country_code": "US",
            "telephone_number": "830-868-4033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEMBERTON",
        "first_name": "MELINDA",
        "middle_name": "K",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-07",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2000149865",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200641200A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00847174",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598080160",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peacock Pediatrics, LLC
• Ashlynn Dlo Peck, LMSW
• Sarah Elizabeth Pedersen, PA
• Pediatric Urgent Care LLC
• Abigayle Marcene Peery, PT, DPT
• Gopichand Pendurti, M.D
• Robyn A Penney, CCC-SLP
• Alyssa Dawne Pennock, BSN, RN, FNE
• Roberta J Peregrine
• Perfect Sense Eye Center St. Joe, LLC

• Family Nurse Practitioner in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.