Active NPI
Melissa L Dever-Mount, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Medford, OR
National Provider Identifier
1770874836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 201407387NP-PP
- Practice address
- 3617 S Pacific Hwy
Medford, OR 97501-8957 - Phone
- (541) 535-6239
- Fax
- (541) 512-1026
- NPI assigned
- Apr 25, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 737855 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 201407387NP-PP | OR | Primary |
Addresses
Primary practice location
3617 S Pacific Hwy
Medford, OR 97501-8957
Mailing address
3617 S Pacific Hwy
Medford, OR 97501-8957
Phone (541) 535-6239
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500678123 | Medicaid | OR |
Other names 1
- Melissa L Chambers
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2018 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201407387NP-PP | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419897600000",
"number": "1770874836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3617 S PACIFIC HWY",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975018957",
"telephone_number": "541-535-6239",
"fax_number": "541-512-1026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3617 S PACIFIC HWY",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975018957",
"telephone_number": "541-535-6239",
"fax_number": "541-512-1026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVER-MOUNT",
"first_name": "MELISSA",
"middle_name": "L",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-25",
"last_updated": "2014-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "737855",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "201407387NP-PP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500678123",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "CHAMBERS",
"middle_name": "L",
"credential": "PMHNP",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.