Melissa M Waterbury, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP60083872 Issued in WA

Practice address

104 Columbia Point Dr
Richland, WA 99352-4387

Phone

(509) 942-3190

Fax

(509) 942-6197

NPI assigned

Apr 7, 2009

Last updated

Sep 9, 2026By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

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, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology SolutionsGroup PAC ID 4082043872, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Dermatology Solutions

  • Dermatology Physician
  • Kennewick, WA
  • NPI 1417599374
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1598908576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 GAGE BLVD STE 101",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993529537",
            "telephone_number": "509-942-3190",
            "fax_number": "509-943-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 COLUMBIA POINT DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524387",
            "telephone_number": "509-942-3190",
            "fax_number": "509-942-6197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8901 W Gage Blvd",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "993367148",
            "country_code": "US",
            "telephone_number": "509-735-1100",
            "fax_number": "509-735-1180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATERBURY",
        "first_name": "MELISSA",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-07",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60083872",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60083872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mwaterbury1109442@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "104 Columbia Point Dr",
            "city": "Richland",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993524387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Washington CVS Pharmacy LLC (CVS Pharmacy #17381)
• Washington Medical Supplies (Densows Medical Supplies)
• Washington Urology PLLC
• Crystal Washington, LMHC, BCBA
• Katlyn Nicole Washington
• Jessika Skye Watson
• Weathering the Storm Counseling PLLC
• Shurrie Ann Weatherman
• Jillian Webb, NP-C
• Madison Webb, CGC

• Family Nurse Practitioner in Richland, WA
• Providers in Richland, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.