Melisa Anna Keuneke, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN.CNP.022586 Issued in OH

Practice address

1178 Professional Dr
Van Wert, OH 45891-2461

Phone

(419) 238-6251

Fax

(419) 232-2090

NPI assigned

Mar 21, 2018

Last updated

Apr 19, 2018By the provider in NPPES

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 OH

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Terrence L Johnson and Robert C Adams PTRGroup PAC ID 1850299868, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fountain Park Home Care, LLC Home health agency, Van Wert, OH, CCN 368142
• Van Wert County Hospital Hospital, Van Wert, OH, CCN 360071

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: melisakeuneke@vanwfamphy.allscriptsdirect.net

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.

• Terrence L Johnson & Robert C Adams PTR

  dba Van Wert Family Physicians

  • Family Medicine Physician
  • Van Wert, OH
  • NPI 1356481584
  Medicare reassignment Care Compare group NPD
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fountain Park Home Care, LLC

  • Home Health Agency
  • Van Wert, OH
  • NPI 1871650994
  Care Compare affiliation
• Van Wert County Hospital Association

  dba Van Wert Health

  • General Acute Care Hospital
  • Van Wert, OH
  • NPI 1942267760
  Care Compare affiliation

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1801390240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1178 PROFESSIONAL DR",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912461",
            "telephone_number": "419-238-6251",
            "fax_number": "419-232-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1178 PROFESSIONAL DR",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912461",
            "telephone_number": "419-238-6251",
            "fax_number": "419-232-2090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1178 Professional Dr",
            "address_purpose": "LOCATION",
            "city": "Van Wert",
            "state": "OH",
            "postal_code": "458912461",
            "country_code": "US",
            "telephone_number": "419-238-6251 x105",
            "fax_number": "419-232-2090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEUNEKE",
        "first_name": "MELISA",
        "middle_name": "ANNA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.022586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurt Kaczander, D.O.
• Paul Anthony Kalogerou, MD
• Darrin James Karcher, OD
• Taylor Keber
• Michelle L Keith
• Elyse Kleman, RN
• Cody James Klinker, MD
• Lisa Knoch
• Arlene Knuckles, RN
• Zoe D Kochel

• Nurse Practitioner in Van Wert, OH
• Providers in Van Wert, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.