Melanie Lynn Wilson, RN, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

834919 Issued in TX

Practice address

1108 South St
Nacogdoches, TX 75964-5986

Phone

(936) 560-3097

Fax

(936) 462-8495

NPI assigned

Mar 1, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Registered Nurse

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/seminol-3b162432

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.

• East Texas Community Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Nacogdoches, TX
  • NPI 1255367090
  Medicare reassignment NPD
• Nacogdoches County Hospital District

  dba Nacogdoches Memorial Professional Group

  • Obstetrics & Gynecology Physician
  • Nacogdoches, TX
  • NPI 1053711804

  Advanced Practice Midwife

  Medicare reassignment NPD
• Utmb Faculty Group Practice

  • General Practice Physician
  • Galveston, TX
  • NPI 1942241146
  Medicare reassignment NPD
• Nacogdoches County Hospital District

  dba Cecil R Bomar Rehabilitation Center

  • Rehabilitation Hospital
  • Nacogdoches, TX
  • NPI 1780612754
  NPD
• East Texas Community Health Services, Inc

  • Community/Retail Pharmacy
  • Nacogdoches, TX
  • NPI 1457216665
  NPD (past)
• TH Healthcare, LTD

  dba Nacogdoches Medical Center

  • General Acute Care Hospital
  • Nacogdoches, TX
  • NPI 1700885076
  NPD (past)

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1801136700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 N MOUND ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614027",
            "telephone_number": "936-568-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 SOUTH ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759645986",
            "telephone_number": "936-560-3097",
            "fax_number": "936-462-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MELANIE",
        "middle_name": "LYNN",
        "credential": "RN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-01",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "834919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Ann Williams, NP
• Timothy Roger Williamson
• Cheryl Busbice Wilson, L.C.S.W.
• Jerry Clyde Wilson, M.S., L.P.C.
• Joni M Wilson
• Winnie-Stowell Hospital District (Stallings Court Nursing and Rehabilitation)
• Winnie-Stowell Hospital District (Willowbrook Nursing Center)
• Reyna Nicole Witherspoon, LCSW
• Gregory Paul Wittpenn, M.D.
• Woden Isd

• Advanced Practice Midwife in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Advanced Practice Midwife in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.