Individual provider Active NPI

Melissa Anne Mann, DO

  • Internal Medicine Physician
  • Kirksville, MO
National Provider Identifier
1730706243
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2020019341 Issued in MO
Practice address
315 S Osteopathy Ave
Attn DME Office
Kirksville, MO 63501-6401
Phone
(515) 979-8442
NPI assigned
Jun 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 58.033272 OH
Internal Medicine Physician 207R00000X 2020019341 MO Primary

Addresses

Primary practice location

315 S Osteopathy Ave
Attn DME Office
Kirksville, MO 63501-6401

Mailing address

315 S Osteopathy Ave
Attn DME Office
Kirksville, MO 63501-6401
Phone (660) 785-1000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241008002629 MO Practitioner - Internal MedicinePractitioner - Geriatric Medicine 5092160598 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kirksville Missouri Hospital Company LLC 6 clinicians
Kirksville Clinic Corp 14 clinicians

Practice addresses (Care Compare)

1607 S Baltimore St
Kirksville, MO 63501-4536
Phone (660) 627-3363

315 S Osteopathy Ave
Kirksville, MO 63501-6401
Phone (660) 785-1000

800 W Jefferson St
Kirksville, MO 63501-1443
Phone (660) 626-2235

Hospital & facility affiliations

  • Northeast Regional Home Health Home health agency, Kirksville, MO, CCN 267296
  • Northeast Regional Medical Center Hospital, Kirksville, MO, CCN 260022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020019341MOMDInternal Medicine Physician
58.033272OHMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kirksville Missouri Hospital Company LLC Internal Medicine CurrentSince Sep 30, 2024 Accepting new patients
Kirksville Missouri Hospital Company, LLC CurrentSince Sep 30, 2024 Accepting new patients
Kirksville Clinic Corp Internal Medicine CurrentSince Jan 25, 2025 Accepting new patients

Locations

315 S Osteopathy Ave
Ofc
Kirksville, MO 63501
Phone (515) 979-8442

315 S Osteopathy Ave
Kirksville, MO 63501
Phone (660) 785-1000

800 W Jefferson St
Kirksville, MO 63501
Phone (660) 626-2235

1607 S Baltimore St
Kirksville, MO 63501
Phone (660) 627-3363

Interoperability endpoints

  • Direct secure messaging: melissa.mann.2@2245.direct.athenahealth.com

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 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": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1730706243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 S OSTEOPATHY AVE",
            "address_2": "ATTN DME OFFICE",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635016401",
            "telephone_number": "660-785-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S OSTEOPATHY AVE",
            "address_2": "ATTN DME OFFICE",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635016401",
            "telephone_number": "515-979-8442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "58.033272",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2020019341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirksville, MO

Sources for this page

Verify at the official NPI Registry.