Individual provider Active NPI

Melissa B Hanish, FNP

  • Family Nurse Practitioner
  • Magnolia, AR
National Provider Identifier
1679914154
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
228907 Issued in AR
Practice address
1617 N Washington
Magnolia, AR 71753-2046
Phone
(870) 234-7676
Fax
(570) 562-2559
NPI assigned
Jul 11, 2013
Last updated
Mar 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP07438 LA
Family Nurse Practitioner 363LF0000X 228907 AR Primary

Addresses

Primary practice location

1617 N Washington
Magnolia, AR 71753-2046

Mailing address

342 Highway 425 S Ste a
Monticello, AR 71655-4612
Phone (870) 942-3000

Other practice location 1

1811 E Bert Kouns Industrial Loop Ste 210
Shreveport, LA 71105-5740
Phone (318) 212-3858

Other names 1

  • Melissa B Beavers Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.mettles.com/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, AR2 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
I20141001000110 LA Practitioner - Nurse Practitioner 9830197326 Reassigns benefits to 5 organizations
I20240725003571 AR Practitioner - Nurse Practitioner 9830197326 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mainline Health Systems IncGroup PAC ID 5193785590, 55 clinicians
WK Urgent Care Center-PierremontGroup PAC ID 8123016946, 39 clinicians
WK Pierremont CardiologyGroup PAC ID 0547571499, 27 clinicians

Practice addresses (Care Compare)

1617 N Washington
Magnolia, AR 71753-2046

1617 N Washington St
Suite 1
Magnolia, AR 71753-2046
Phone (501) 451-4110

1666 E Bert Kouns Industrial Loop
Suite 105
Shreveport, LA 71105-5718
Phone (318) 212-3520

1811 E Bert Kouns Industrial Loop
Suite 210
Shreveport, LA 71105-5740
Phone (318) 212-3858

579 E Beouff St
Eudora, AR 71640-3090
Phone (870) 355-2512

620 W Grove St
Suite 202
El Dorado, AR 71730-4409
Phone (501) 526-5601

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Dec 10, 2024 Accepting new patients
Mainline Health Systems, Inc CurrentSince Nov 3, 2025 Accepting new patients
WK Pierremont Cardiology CurrentSince Nov 13, 2020 Accepting new patients
Coastal Urgent Care, LLC CurrentSince Jun 17, 2024 Accepting new patients
WK Urgent Care Center-Pierremont CurrentSince Mar 1, 2017 Accepting new patients
Hulin Urgent Care Services LLC CurrentSince Jun 17, 2024 Accepting new patients
Hulin Urgent Care Services LLC CurrentSince Jun 17, 2024 Accepting new patients
Mainline Health Systems, Inc CurrentSince Nov 3, 2025 Accepting new patients
Mainline Health Systems Inc Past Accepting new patients
WK Pierremont ENT PastSince Feb 20, 2020 Accepting new patients
Mainline Health Systems, Inc Past Accepting new patients
University of Arkansas for Medical Sciences Past Accepting new patients
Kirit S Patel MD Apmc PastSince Apr 1, 2011 Accepting new patients

Locations

300 S School St
Dermott, AR 71638
Phone (870) 538-3355

620 W Grove St
Ste 202
El Dorado, AR 71730
Phone (870) 863-2420

579 E Beouff St
Eudora, AR 71640
Phone (870) 355-2512

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

1617 N Washington
Magnolia, AR 71753
Phone (870) 234-7676

342 Highway 425 S
Ste A
Monticello, AR 71655

1012 E Church St
Ste B
Warren, AR 71671
Phone (870) 226-6786

5314 Airline Dr
Bossier City, LA 71111
Phone (318) 678-5272

8021 E Texas St
Bossier City, LA 71111
Phone (225) 706-3033

1124 S Burnside Ave
Ste 100A
Gonzales, LA 70737
Phone (225) 644-5503

1034 Homer Rd
Minden, LA 71055
Phone (318) 639-4664

1110 E Saint Peter St
New Iberia, LA 70560
Phone (337) 364-1166

1202 Louisiana Ave
Shreveport, LA 71101
Phone (318) 212-8946

1666 E Bert Kouns Industrial Loop
Ste 105
Shreveport, LA 71105
Phone (318) 212-3520

1811 E Bert Kouns Industrial Loop
Ste 210
Shreveport, LA 71105
Phone (318) 212-3858

2600 Greenwood Rd
Shreveport, LA 71103
Phone (318) 212-4600

1918 S Arkansas St
Springhill, LA 71075
Phone (318) 277-2581

Organizations & group practices 14

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.

View all 14

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": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1679914154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 HIGHWAY 425 S STE A",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716554612",
            "telephone_number": "870-942-3000",
            "fax_number": "870-942-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 N WASHINGTON",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717532046",
            "telephone_number": "870-234-7676",
            "fax_number": "570-562-2559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1811 E Bert Kouns Industrial Loop Ste 210",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711055740",
            "country_code": "US",
            "telephone_number": "318-212-3858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANISH",
        "first_name": "MELISSA",
        "middle_name": "B",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07438",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "228907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mettles.com/",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.6037.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "10320 Little Patuxent Pkwy Ste 233-02",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210443313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "BEAVERS",
            "middle_name": "B",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Magnolia, AR

Sources for this page

Verify at the official NPI Registry.