Individual provider Active NPI

Melissa T Hopper, PSYD

  • Clinical Psychologist
  • Wichita, KS
National Provider Identifier
1821056870
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP1197 Issued in KS
Practice address
8100 E 22ND St N
Building 800, Suite 100
Wichita, KS 67226-2388
Phone
(316) 683-4083
Fax
(316) 689-8431
NPI assigned
May 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X LP1197 KS Primary

Addresses

Primary practice location

8100 E 22ND St N
Building 800, Suite 100
Wichita, KS 67226-2388

Mailing address

8100 E 22ND St N
Building 800, Suite 100
Wichita, KS 67226-2388
Phone (316) 683-4083

Other identifiers 2

IdentifierTypeStateIssuer
106494OtherKSBC/BS
200252940AMedicaidKS

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20040408000630 KS Practitioner - Clinical Psychologist 3577556059 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wesley Physicians Medical Specialties LLCGroup PAC ID 1355509886, 50 clinicians

Practice addresses (Care Compare)

2600 N Woodlawn Blvd
Wichita, KS 67220-2729
Phone (316) 260-1690

620 N Carriage Pkwy
Wesleyphysicians Medicalspecialties
Wichita, KS 67208-4501
Phone (316) 962-3100

Merit-based Incentive Payment System (MIPS)

Final score
84.77 of 100Reported as group
Quality
77.19
Promoting interoperability
99
Improvement activities
40
Cost
72.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LP1197KSMDClinical Psychologist
1197KSMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Wesley Physicians Medical Specialties LLC CurrentSince Apr 22, 2018 Accepting new patients
University of Kansas School of Medicine Wichita Medical Practice Assoc CurrentSince Mar 15, 2018 Accepting new patients
County of Sedgwick PastSince Mar 6, 2022 Accepting new patients

Locations

550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239

3600 E Harry St
Wichita, KS 67218
Phone (316) 268-5426

1010 N Kansas St
Wichita, KS 67214
Phone (316) 293-2622

3243 E Murdock St
Ste Lvl-A
Wichita, KS 67208
Phone (316) 688-3150

2600 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 260-1690

620 N Carriage Pkwy
Wichita, KS 67208
Phone (316) 962-3100

3243 E Murdock St
Ste Lvl-G
Wichita, KS 67208
Phone (316) 962-3100

1010 N Kansas St
Ste 3054
Wichita, KS 67214
Phone (316) 293-2647

Interoperability endpoints

  • Direct secure messaging: melissa.hopper@hca3.eclinicaldirectplus.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311552000000",
    "number": "1821056870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 E 22ND ST N",
            "address_2": "BUILDING 800, SUITE 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262388",
            "telephone_number": "316-683-4083",
            "fax_number": "316-689-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 E 22ND ST N",
            "address_2": "BUILDING 800, SUITE 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262388",
            "telephone_number": "316-683-4083",
            "fax_number": "316-689-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPPER",
        "first_name": "MELISSA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2011-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "LP1197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "106494",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200252940A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.