Melissa Ann Duncan
Individual provider Active NPI Family Nurse Practitioner · Hampton, IL
NPI 1770959504 · NPPES record last updated Apr 28, 2016
Key facts
- NPI
- 1770959504
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F0715543 (IL)
- Practice address
- 622 13TH Ave
Hampton, IL 61256-9611 - Phone
- (309) 738-9351
- NPI assigned
- Aug 16, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- CGH Medical Center
Practice addresses (Care Compare)
101 E Miller Rd
Sterling, IL 61081-1252
Phone (815) 625-4790
Hospital & facility affiliations
- CGH Medical Center
- Osf Saint Katharine Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151016001096 | IL | Practitioner - Nurse Practitioner | 2466761325 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F0715543 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CGH Medical Center | Current |
Accepting new patients | |
| CGH Medical Center | Current |
Accepting new patients | |
| CGH Medical Center | Current | Accepting new patients |
Locations
1321 N Galena Ave
Dixon, IL 61021
Phone (815) 284-1600
101 E Miller Rd
Sterling, IL 61081
Phone (815) 632-5285
Interoperability endpoints
- mduncan20736@cghmc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F0715543 | IL | Yes |
Addresses
Primary practice location
622 13TH Ave
Hampton, IL 61256-9611
Mailing address
101 E Miller Rd
Sterling, IL 61081-1252
Phone (309) 738-9351
Other providers in Hampton, IL
- Richard L Day Jr.
- Tracey Lee Earl
- Gina Diane Glassford
- Greggory Goodman
- Kelly Gray
- Hampton Health and Wellness
All providers in Hampton, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.