Individual provider Active NPI

Melissa D White, CRNA

  • Certified Registered Nurse Anesthetist
  • Pikeville, KY
National Provider Identifier
1700890407
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3005271 Issued in KY
Practice address
911 Bypass Rd BLDG a
Pikeville, KY 41501-1689
Phone
(606) 430-3500
Fax
(606) 437-1033
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 44760 KY
Certified Registered Nurse Anesthetist 367500000X 050398 WV
Certified Registered Nurse Anesthetist 367500000X 3005271 KY Primary

Addresses

Primary practice location

911 Bypass Rd BLDG a
Pikeville, KY 41501-1689

Mailing address

PO Box 432
Pikeville, KY 41502-0432
Phone (606) 430-3500

Other identifiers 2

IdentifierTypeStateIssuer
P00421310OtherKYRAILROAD MEDICARE
2605012000MedicaidWV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mwhite21737@PIKEVILLEKYDIRECT.ORG Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031208001072 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618873084 Reassigns benefits to 2 organizations
I20071025000213 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618873084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pikeville Medical Center IncGroup PAC ID 6709790157, 427 clinicians
Boone Memorial Hospital IncGroup PAC ID 3375433352, shared by 8 NPIs, 78 clinicians

Practice addresses (Care Compare)

184 S Mayo Trail
Pikeville, KY 41501-1518
Phone (606) 430-2213

701 Madison Ave
Madison, WV 25130-1669
Phone (304) 369-1230

911 Bypass Rd
Pikeville, KY 41501-1689

Hospital & facility affiliations

  • Pikeville Medical Center Hospital, Pikeville, KY, CCN 180044
  • Boone Memorial Hospital Hospital, Madison, WV, CCN 511313

Merit-based Incentive Payment System (MIPS)

Final score
92.67 of 100Reported as group
Quality
81.47
Promoting interoperability
100
Improvement activities
40
Cost
81.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
3005271KYMDCertified Registered Nurse Anesthetist
050398WVMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Boone Memorial Hospital, Inc Current Accepting new patients
Pikeville Medical Center Inc CurrentSince Aug 13, 2007 Accepting new patients
Pikeville Medical Center Inc. Nurse Anesthetist, Certified Registered CurrentSince Aug 13, 2007 Accepting new patients
Boone Memorial Hospital, Inc CurrentSince Jun 2, 2019 Accepting new patients
Boone Memorial Hospital, Inc Current Accepting new patients
Boone Memorial Hospital, Inc CurrentSince Jun 2, 2019 Accepting new patients
Center for Pain Relief, Inc. Past Accepting new patients
Professional Anesthesia Service,Inc. Past Accepting new patients

Locations

184 S Mayo Trl
Pikeville, KY 41501
Phone (606) 430-2213

911 Bypass Rd
Bldg A
Pikeville, KY 41501
Phone (606) 430-2201

911 Bypass Rd
Pikeville, KY 41501
Phone (606) 218-4530

701 Madison Ave
Madison, WV 25130
Phone (304) 369-1230

Interoperability endpoints

  • Direct secure messaging: mwhite21737@pikevillekydirect.org

Organizations & group practices 8

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1700890407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 432",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415020432",
            "telephone_number": "606-430-3500",
            "fax_number": "606-437-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 BYPASS RD BLDG A",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011689",
            "telephone_number": "606-430-3500",
            "fax_number": "606-437-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MELISSA",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "44760",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WV",
            "license": "050398",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3005271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00421310",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2605012000",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mwhite21737@PIKEVILLEKYDIRECT.ORG",
            "affiliation": "N",
            "endpointDescription": "Direct address for ccda",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Standard direct functionality",
            "address_1": "911 Bypass Rd Bldg A",
            "city": "Pikeville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "415011689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.