NPIMap

Individual provider Active NPI

Melissa Ann Pierce, AANP-FNP

  • Family Nurse Practitioner
  • Idabel, OK
National Provider Identifier
1780157396
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
63024 Issued in OK
Practice address
2103 E Washington St
Idabel, OK 74745-7861
Phone
(580) 286-2299
Fax
(888) 355-6329
NPI assigned
Jan 7, 2019
Last updated
Aug 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 63024 OK Primary

Addresses

Primary practice location

2103 E Washington St
Idabel, OK 74745-7861

Mailing address

2103 E Washington St
Idabel, OK 74745-7861
Phone (580) 286-2299

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190226002959 OK Practitioner - Nurse Practitioner 3577802107 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2103 E Washington St
Idabel, OK 74745-7861
Phone (580) 286-2299

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63024OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McCurtain Memorial Medical Management, Inc. CurrentSince Dec 17, 2018 Accepting new patients
McCurtain Memorial Medical Management, Inc. CurrentSince Dec 17, 2018 Accepting new patients
Total Family Healthcare Clinic PLLC Family CurrentSince Jun 1, 2025 Accepting new patients
McCurtain Memorial Medical Management, Inc. Past Accepting new patients

Locations

510 S Park Dr
Broken Bow, OK 74728
Phone (580) 286-6688

1301 E Lincoln Rd
Idabel, OK 74745
Phone (580) 208-3103

2103 E Washington St
Idabel, OK 74745
Phone (580) 286-2299

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HAEIDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/HAEIDD/Endpoint/HAEIDD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1780157396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 E WASHINGTON ST",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747457861",
            "telephone_number": "580-286-2299",
            "fax_number": "888-355-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 E WASHINGTON ST",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747457861",
            "telephone_number": "580-286-2299",
            "fax_number": "888-355-6329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "AANP-FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-07",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "63024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idabel, OK

Sources for this page

Verify at the official NPI Registry.