Individual provider Active NPI

Melissa Washabaugh, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lovelock, NV
National Provider Identifier
1629625215
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
822982 Issued in NV
Practice address
855 6TH St
Lovelock, NV 89419
Phone
(775) 273-2621
NPI assigned
Aug 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 822982 NV Primary

Addresses

Primary practice location

855 6TH St
Lovelock, NV 89419

Mailing address

PO Box 297
Lovelock, NV 89419-0297
Phone (775) 442-0091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20191217002284 NV Practitioner - Nurse Practitioner 4486088861 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Univeristy of Texas Rio Grande Valley Med School, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pershing General HospitalGroup PAC ID 7012825433, 13 clinicians

Practice addresses (Care Compare)

PO Box
Suite 661
Lovelock, NV 89419-0661

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
822982NVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pershing General Hospital CurrentSince Nov 21, 2019 Accepting new patients
Pershing General Hospital CurrentSince Jul 19, 2023 Accepting new patients
Pershing General Hospital CurrentSince Nov 21, 2019 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1629625215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 297",
            "city": "LOVELOCK",
            "state": "NV",
            "postal_code": "894190297",
            "telephone_number": "775-442-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 6TH ST",
            "city": "LOVELOCK",
            "state": "NV",
            "postal_code": "89419",
            "telephone_number": "775-273-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHABAUGH",
        "first_name": "MELISSA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "822982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lovelock, NV

Sources for this page

Verify at the official NPI Registry.