Melissa L. Tompkins, PA C
Individual provider Active NPI Physician Assistant · Syracuse, NE
NPI 1811904568 · NPPES record last updated Mar 8, 2019
Key facts
- NPI
- 1811904568
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 960 (NE)
- Practice address
- 2731 Healthcare Dr
Syracuse, NE 68446-7880 - Phone
- (402) 269-2011
- Fax
- (402) 269-3369
- NPI assigned
- Aug 2, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 7
Medicare Care Compare profile
- 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 Network
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
- Eventide Home Health Care
- Hillcrest Home Care
- Bryan Medical Center
- Syracuse Area Health
- Beatrice Community Hospital & Health Center, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050411001257 | NE | Practitioner - Physician Assistant | 8628015682 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 960 | NE | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beatrice Community Hospital & Health Center Inc | Physician Assistant | Current |
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
- mtompkins40517@hisp.bryanhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 960 | NE | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37857 | Other | NE | BCBS OF NEBRASKA |
Other names
- Ms. Melissa L. Fuller
Other providers in Syracuse, NE
- Syracuse Town & Country Pharmacy
- Syracuse Town & Country Pharmacy, Inc
- Syracuse Vision Center, P.C.
- The Evangelical Lutheran Good Samaritan Society
- The Evangelical Lutheran Good Samaritan Society
- Torrent Counseling LLC
- Tranquil Teeth LLC
- Roxanne Voorhees
- Tiffany Joy Walters
- Patricia Ann Wesely
All providers in Syracuse, NE · Physician Assistant in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.