NPIMap

Individual provider Active NPI

Melissa Marie Hatcher, MD

  • Family Medicine Physician
  • West Plains, MO
National Provider Identifier
1710960729
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2009014869 Issued in MO
Practice address
1137 Independence Dr
West Plains, MO 65775-4221
Phone
(417) 255-8464
Fax
(417) 255-9732
NPI assigned
Nov 23, 2005
Last updated
Aug 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2009014869 MO Primary

Addresses

Primary practice location

1137 Independence Dr
West Plains, MO 65775-4221

Mailing address

1137 Independence Dr
West Plains, MO 65775-4221
Phone (417) 255-8464

Other identifiers 1

IdentifierTypeStateIssuer
1710960729MedicaidMO

Other names 1

  • Melissa Marie Pavelka Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041109000129 IN Practitioner - Family Practice 8820051089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
Indiana University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Hospital IncGroup PAC ID 8426943614, shared by 9 NPIs, 90 clinicians
Providence Medical Group, LLCGroup PAC ID 9335135995, 27 clinicians

Practice addresses (Care Compare)

115 S Murphy Ave
Brazil, IN 47834-8296
Phone (812) 442-2100

1606 N 7TH St
Terre Haute, IN 47804-2706

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2009014869MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital Inc CurrentSince Jan 1, 2020 Accepting new patients
Union Hospital, Inc. Family Medicine Current Accepting new patients
Union Hospital, Inc. CurrentSince Jan 1, 2020 Accepting new patients
Union Hospital Inc. Current Accepting new patients
Union Hospital Inc. Family Medicine Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

115 S Murphy Ave
Ste A
Brazil, IN 47834
Phone (812) 442-2100

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

Interoperability endpoints

  • Direct secure messaging: mhatcher@unionhealth.cernerdirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1710960729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 INDEPENDENCE DR",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657754221",
            "telephone_number": "417-255-8464",
            "fax_number": "417-255-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 INDEPENDENCE DR",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657754221",
            "telephone_number": "417-255-8464",
            "fax_number": "417-255-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATCHER",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2009014869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710960729",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "PAVELKA",
            "middle_name": "MARIE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Plains, MO

Sources for this page

Verify at the official NPI Registry.