Melissa Tidwell Wilkey, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

95016601 Issued in CA

Practice address

2601 E Main St Ste 200
Ventura, CA 93003-2801

Phone

(805) 643-7500

Fax

(805) 643-7510

NPI assigned

Feb 5, 2021

Last updated

Feb 5, 2021By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mwilkey3694087@oc.providencedirect.org

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.

• Community Memorial Health System

  dba Community Memorial Hospital - Ventura

  • General Acute Care Hospital
  • Ventura, CA
  • NPI 1215903018
  Medicare reassignment
• Community Memorial Health System

  dba Community Memorial Health Center

  • Orthopaedic Surgery Physician
  • Camarillo, CA
  • NPI 1871919126
  NPD

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1619569258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 E MAIN ST STE 200",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032801",
            "telephone_number": "805-643-7500",
            "fax_number": "805-643-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 E MAIN ST STE 200",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032801",
            "telephone_number": "805-643-7500",
            "fax_number": "805-643-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKEY",
        "first_name": "MELISSA",
        "middle_name": "TIDWELL",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95016601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Wilcox
• Patti Wilczek
• Danielle N. Wiley, PA
• Cedar Wilkening, ATC, PAC
• Clark J Wilkey, DO
• Connor Wilkin
• William a Speitel
• William a. Beuttler, M.D., Inc.
• William T Klope MD Inc a Medical Corporation
• Williams Physical Therapy, Inc

• Pediatric Nurse Practitioner in Ventura, CA
• Providers in Ventura, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.