Individual provider Active NPI

Melissa Todd

  • Family Nurse Practitioner
  • Paducah, KY
National Provider Identifier
1609425107
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3013427 Issued in KY
Practice address
867 McGuire Ave
Paducah, KY 42001-4036
Phone
(270) 442-6168
NPI assigned
Sep 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3013427 KY Primary

Addresses

Primary practice location

867 McGuire Ave
Paducah, KY 42001-4036

Mailing address

36 Pemberton CV
Jackson, TN 38305-5514
Phone (731) 394-1145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20191017002790 KY Practitioner - Nurse Practitioner 1355672643 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

2603 Kentucky Ave
Suite 105
Paducah, KY 42003-3815
Phone (270) 443-5564

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3013427KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Thomas Whealton PSC CurrentSince Jan 20, 2025 Accepting new patients
Metro Infectious Disease Consultants, LLC CurrentSince Jul 18, 2024 Accepting new patients
Jeffrey Leider MD PLLC Current Accepting new patients
Jeffrey Leider MD PLLC Family CurrentSince Jul 9, 2024 Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince Jul 18, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Mar 1, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Mar 1, 2025 Accepting new patients

Locations

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

950 Highpoint Dr
Hopkinsville, KY 42240
Phone (270) 885-1151

1169 Eastern Pkwy
Ste 1135
Louisville, KY 40217

1601 Highway 121 Byp N
Ste B
Murray, KY 42071
Phone (270) 971-4344

4645 Village Square Dr
Ste F1
Paducah, KY 42001

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

2603 Kentucky Ave
Ste 105
Paducah, KY 42003
Phone (270) 415-4802

867 McGuire Ave
Paducah, KY 42001
Phone (270) 442-6168

Organizations & group practices 7

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": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1609425107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 PEMBERTON CV",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383055514",
            "telephone_number": "731-394-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 MCGUIRE AVE",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420014036",
            "telephone_number": "270-442-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-06",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3013427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.