NPIMap

Individual provider Active NPI

Melissa L. Tompkins, PA C

  • Physician Assistant
  • Syracuse, NE
National Provider Identifier
1811904568
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
960 Issued in NE
Practice address
2731 Healthcare Dr
Syracuse, NE 68446-7880
Phone
(402) 269-2011
Fax
(402) 269-3369
NPI assigned
Aug 2, 2006
Last updated
Mar 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 960 NE Primary

Addresses

Primary practice location

2731 Healthcare Dr
Syracuse, NE 68446-7880

Mailing address

PO Box N
Syracuse, NE 68446-0518
Phone (402) 269-2011

Other names 1

  • Ms. Melissa L. Fuller Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20050411001257 NE Practitioner - Physician Assistant 8628015682 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bryan Physician NetworkGroup PAC ID 7315915873, 236 clinicians

Practice addresses (Care Compare)

2300 S 16TH St
Bryan Medical Center
Lincoln, NE 68502-3704
Phone (402) 481-1111

2701 S 70TH St
Holmes Lake Family Medicine
Lincoln, NE 68506-2918
Phone (402) 483-3400

3901 Pine Lake Rd
Suite 335
Lincoln, NE 68516-5497
Phone (402) 483-3700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Beatrice Community Hospital & Health Center Inc Physician Assistant CurrentSince May 23, 2008 Accepting new patients
Beatrice Community Hospital & Health Center Inc Past Accepting new patients

Locations

4800 Hospital Pkwy
Beatrice, NE 68310
Phone (402) 228-3344

Interoperability endpoints

  • Direct secure messaging: mtompkins40517@hisp.bryanhealth.org

Organizations & group practices 3

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 7

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1811904568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX N",
            "city": "SYRACUSE",
            "state": "NE",
            "postal_code": "684460518",
            "telephone_number": "402-269-2011",
            "fax_number": "402-269-2795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2731 HEALTHCARE DR",
            "city": "SYRACUSE",
            "state": "NE",
            "postal_code": "684467880",
            "telephone_number": "402-269-2011",
            "fax_number": "402-269-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMPKINS",
        "first_name": "MELISSA",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "FULLER",
            "middle_name": "L.",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Syracuse, NE

Sources for this page

Verify at the official NPI Registry.