Individual provider Active NPI

Melinda Marshall Milam, APRN

  • Family Medicine Physician
  • Hartford, KY
National Provider Identifier
1811575616
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3015457 Issued in KY
Practice address
1125 Old Main St
Hartford, KY 42347-1617
Phone
(270) 256-9292
NPI assigned
Apr 1, 2021
Last updated
Apr 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3015457 KY
Family Medicine Physician 207Q00000X 3015457 KY Primary

Addresses

Primary practice location

1125 Old Main St
Hartford, KY 42347-1617

Mailing address

1125 Old Main St
Hartford, KY 42347-1617
Phone (270) 256-9292

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherNONE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20210503000891 KY Practitioner - Nurse Practitioner 7911316062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio County Hospital CorporationGroup PAC ID 3577477264, 84 clinicians

Practice addresses (Care Compare)

20 E McMurtry Ave
Hartford, KY 42347-1647
Phone (270) 504-1300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3015457KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio County Hospital Corporation Current Accepting new patients
Ohio County Hospital Corporation CurrentSince Mar 1, 2022 Accepting new patients
Ohio County Hospital Corporation CurrentSince Mar 1, 2022 Accepting new patients
Ohio County Hospital Corporation Family Medicine Current Accepting new patients
Ohio County Hospital Corporation Family Medicine Past Accepting new patients

Locations

1313 N Main St
Beaver Dam, KY 42320
Phone (270) 274-9928

44 W Main St
Fordsville, KY 42343
Phone (270) 276-3150

1211 Old Main St
Hartford, KY 42347
Phone (270) 298-3806

1215 Old Main St
Hartford, KY 42347
Phone (270) 298-5401

20 E McMurtry Ave
Hartford, KY 42347
Phone (270) 504-1300

Organizations & group practices 5

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 1

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": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1811575616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 OLD MAIN ST",
            "city": "HARTFORD",
            "state": "KY",
            "postal_code": "423471617",
            "telephone_number": "270-256-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 OLD MAIN ST",
            "city": "HARTFORD",
            "state": "KY",
            "postal_code": "423471617",
            "telephone_number": "270-256-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILAM",
        "first_name": "MELINDA",
        "middle_name": "MARSHALL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3015457",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "3015457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, KY

Sources for this page

Verify at the official NPI Registry.