Melissa Peck, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

COA.18290-NP Issued in OH

Practice address

2037 Wales Ave NW Ste 130
Massillon, OH 44646-4185

Phone

(330) 830-9378

Fax

(330) 830-1534

NPI assigned

Oct 19, 2015

Last updated

Oct 19, 2015By 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 OH

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 Nurse Practitioner, 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.

• West Medical,Inc.

  • Internal Medicine Physician
  • Massillon, OH
  • NPI 1326077512
  Medicare reassignment NPD

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1649641564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2037 WALES AVE NW STE 130",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446464185",
            "telephone_number": "330-830-9378",
            "fax_number": "330-830-1534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2037 WALES AVE NW STE 130",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446464185",
            "telephone_number": "330-830-9378",
            "fax_number": "330-830-1534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "MELISSA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.18290-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Paulus, D.D.S
• Jon Douglas Paulus, D.D.S.
• Janet Anne Payne, CRNA
• Lawrence N Payne, MD
• PCS Sleep Center, LLC
• Pediatric and Family Medicine Health Care Inc.
• Jacques Pelser, LPCC-S, LIDCD
• Marilyn J Perkowski, CNP
• Vincent E Perkowski, D.O.
• Perry Chiropractic and Wellness Center

• Family Nurse Practitioner in Massillon, OH
• Providers in Massillon, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.