Individual provider Active NPI

Melissa K Hall, PA-C

  • Physician Assistant
  • Cozad, NE
National Provider Identifier
1689905689
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1484 Issued in NE
Practice address
1803 Papio LN
Cozad, NE 69130-1138
Phone
(308) 784-3535
Fax
(308) 784-3534
NPI assigned
Jan 15, 2010
Last updated
Feb 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1484 NE Primary

Addresses

Primary practice location

1803 Papio LN
Cozad, NE 69130-1138

Mailing address

300 E 12TH St
Cozad, NE 69130-1505
Phone (308) 784-2261

Other names 1

  • Melissa K Edson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20100513001065 NE Practitioner - Physician Assistant 3274661178 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cozad Community HospitalGroup PAC ID 6507810389, shared by 6 NPIs, 9 clinicians

Practice addresses (Care Compare)

300 E 12TH St
Cozad, NE 69130-1532
Phone (308) 784-2261

PO Box
Suite 108
Cozad, NE 69130

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1484NEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cozad Community Hospital CurrentSince May 1, 2025 Accepting new patients
Cozad Community Hospital Physician Assistant CurrentSince May 1, 2025 Accepting new patients
Cozad Community Hospital CurrentSince May 1, 2025 Accepting new patients
Cozad Community Hospital Past Accepting new patients

Locations

1803 Papio Ln
Cozad, NE 69130
Phone (308) 784-3535

300 E 12th St
Cozad, NE 69130
Phone (308) 784-2261

Interoperability endpoints

  • Direct secure messaging: melissahall@pcmg.allscriptsdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1263513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1689905689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E 12TH ST",
            "city": "COZAD",
            "state": "NE",
            "postal_code": "691301505",
            "telephone_number": "308-784-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 PAPIO LN",
            "city": "COZAD",
            "state": "NE",
            "postal_code": "691301138",
            "telephone_number": "308-784-3535",
            "fax_number": "308-784-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "MELISSA",
        "middle_name": "K",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-15",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "EDSON",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cozad, NE

Sources for this page

Verify at the official NPI Registry.