Melissa L. Oltman, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A-085215 Issued in IA

Practice address

905 Franklin St
Waterloo, IA 50703-4407

Phone

(319) 272-4300

Fax

(319) 272-4411

NPI assigned

Jul 2, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Peoples Community Health Clinic, Inc

  • Federally Qualified Health Center (FQHC)
  • Waterloo, IA
  • NPI 1629684709
  Medicare reassignment NPD
• Laboratory Corporation of America Holdings

  • Clinical Medical Laboratory
  • Waterloo, IA
  • NPI 1720212475
  NPD
• Peoples Community Health Clinic, Inc

  • Federally Qualified Health Center (FQHC)
  • Clarksville, IA
  • NPI 1336850734
  NPD
• Peoples Community Health Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Waterloo, IA
  • NPI 1093703639
  NPD
• Peoples Community Health Clinic, Inc

  • Federally Qualified Health Center (FQHC)
  • Waterloo, IA
  • NPI 1952917049
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1720342017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 FRANKLIN ST",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507034407",
            "telephone_number": "319-874-3000",
            "fax_number": "319-874-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 FRANKLIN ST",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507034407",
            "telephone_number": "319-272-4300",
            "fax_number": "319-272-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLTMAN",
        "first_name": "MELISSA",
        "middle_name": "L.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-02",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A-085215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "15689",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0076372",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Okioga
• Jens Masters Olsen, MD
• Steven M. Olsen, D.O.
• Daniel Joe Olson
• Ivy Olson
• Olympic Dentistry, PLC
• Omaha Vamc
• On-Site Hearing
• Anthony A Onuigbo, M.D.
• Nnaemeka Egbuna Onyeakusi, M.D

• Family Nurse Practitioner in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.