Individual provider Active NPI

Melanie Pasque

  • Physician Assistant
  • Searcy, AR
National Provider Identifier
1649881970
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1360 Issued in SD
Practice address
Harding University Physician Assistant Program
Searcy, AR 72149-0001
Phone
(501) 279-5642
NPI assigned
Aug 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X 1360 SD Primary

Addresses

Primary practice location

Harding University Physician Assistant Program
Searcy, AR 72149-0001

Mailing address

2212 S Philadelphia St
Apt 5206
Rapid City, SD 57703
Phone (918) 720-1332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220401000796 SD Practitioner - Physician Assistant 6103212022 Reassigns benefits to 1 organization
I20240719003386 AZ Practitioner - Physician Assistant 6103212022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

10510 N 92ND St
Scottsdale, AZ 85258-4566

250 E Dunlap Ave
Phoenix, AZ 85020-2825
Phone (602) 943-2381

9003 E Shea Blvd
Scottsdale, AZ 85260-6709
Phone (480) 323-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Rapid City Hospital Inc CurrentSince Mar 14, 2022 Accepting new patients
Monument Health Rapid City Hospital, Inc. CurrentSince Mar 14, 2022 Accepting new patients
Honorhealth Ambulatory CurrentSince Jul 8, 2024 Accepting new patients
Honorhealth Ambulatory CurrentSince Jul 8, 2024 Accepting new patients
Honorhealth Ambulatory Past Accepting new patients

Locations

3645 S Rome St
Ste 204
Gilbert, AZ 85297
Phone (480) 534-4520

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

9250 N 3rd St
Ste 2000
Phoenix, AZ 85020
Phone (602) 246-9080

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

10210 N 92nd St
Ste 300
Scottsdale, AZ 85258
Phone (480) 882-7750

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

Interoperability endpoints

  • Direct secure messaging: mpasque579187@direct.honorhealth.com

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 2

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": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1649881970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 S PHILADELPHIA ST",
            "address_2": "APT 5206",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "57703",
            "telephone_number": "918-720-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HARDING UNIVERSITY PHYSICIAN ASSISTANT PROGRAM",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721490001",
            "telephone_number": "501-279-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASQUE",
        "first_name": "MELANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "1360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Searcy, AR

Sources for this page

Verify at the official NPI Registry.