Active NPI
Melissa May Bassett, FNP
- Family Nurse Practitioner
- Plymouth, MN
National Provider Identifier
1790962041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP117247
- Practice address
- 4140 County Road 101 N
Plymouth, MN 55446-2308 - Phone
- (763) 478-4612
- NPI assigned
- Jan 29, 2008
- Last updated
- Aug 27, 2020
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 5234444-3102RN | UT | |
| Family Nurse Practitioner | 363LF0000X | 5234444-4405 | UT | |
| Family Nurse Practitioner | 363LF0000X | 5234444-4405APRN | UT | |
| Family Nurse Practitioner | 363LF0000X | AP117247 | TX | Primary |
| Family Nurse Practitioner | 363LF0000X | CNP2945 | MN |
Addresses
Primary practice location
4140 County Road 101 N
Plymouth, MN 55446-2308
Mailing address
7630 Fry Rd
Ste 300
Cypress, TX 77433-3376
Phone (281) 463-1400
Other names 1
- Melissa May Hansen
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 Jul 1, 2022 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5234444-3102RN | UT | MD | Licensed Vocational Nurse |
| CNP2945 | MN | MD | Family Nurse Practitioner |
| AP117247 | TX | MD | Family Nurse Practitioner |
| 5234444-4405 | UT | MD | Family Nurse Practitioner |
| 5234444-4405APRN | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nellie P. Grose, M.D., PA | Past | Accepting new patients | |
| First Family Clinic, Inc. | Past | Accepting new patients | |
| Clinic Service Providers, PA | Past | Accepting new patients | |
| 1St Medical of Annapolis, Inc. | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598486400000",
"number": "1790962041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7630 FRY RD",
"address_2": "STE 300",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774333376",
"telephone_number": "281-463-1400",
"fax_number": "281-463-1432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4140 COUNTY ROAD 101 N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554462308",
"telephone_number": "763-478-4612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASSETT",
"first_name": "MELISSA",
"middle_name": "MAY",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-29",
"last_updated": "2020-08-27",
"certification_date": "2020-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "UT",
"license": "5234444-3102RN",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "5234444-4405",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "5234444-4405APRN",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP117247",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "CNP2945",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "HANSEN",
"middle_name": "MAY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.