Individual provider Active NPI

Melissa G. C. Daugaard

  • Nurse Practitioner
  • Redding, CA
National Provider Identifier
1760825574
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP95004781 Issued in CA
Practice address
2510 Airpark Dr Ste 301
Redding, CA 96001-2462
Phone
(530) 242-3500
Fax
(530) 242-3546
NPI assigned
Apr 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP95004781 CA Primary

Addresses

Primary practice location

2510 Airpark Dr Ste 301
Redding, CA 96001-2462

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956

Other names 1

  • Melissa G. C. Mohabir Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160209002364 KS Practitioner - Nurse Practitioner 3173763992 Reassigns benefits to 1 organization
I20190412001617 CA Practitioner - Nurse Practitioner 3173763992 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Redding Pain MedicineGroup PAC ID 2961734348, 4 clinicians

Practice addresses (Care Compare)

2111 Airpark Dr
Redding, CA 96001-2433
Phone (530) 247-3733

Merit-based Incentive Payment System (MIPS)

Final score
96.52 of 100Reported as group
Quality
92.31
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5328CTMDSpeech-Language Pathologist
NP95004781CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Manzer Family Medicine, LLC CurrentSince Dec 22, 2015 Accepting new patients
Apogee Outpatient Surgery Center Past Accepting new patients

Locations

915 W Maple St
Columbus, KS 66725
Phone (417) 310-9286

3071 S Grand Ave
Carthage, MO 64836
Phone (417) 310-9286

Interoperability endpoints

  • Direct secure messaging: melissa.daugaard@3856.securemail.prognocis.com
  • Direct secure messaging: melissa.daugaard.p3@direct.smmg.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1760825574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 AIRPARK DR STE 301",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012462",
            "telephone_number": "530-242-3500",
            "fax_number": "530-242-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUGAARD",
        "first_name": "MELISSA",
        "middle_name": "G. C.",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-10",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95004781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "MOHABIR",
            "middle_name": "G. C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.