Melia Nicole McCord, PA-C
Individual provider Active NPI Medical Physician Assistant · Hoopeston, IL
NPI 1821075243 · NPPES record last updated Jan 22, 2015
Key facts
- NPI
- 1821075243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 085-002550 (IL)
- Practice address
- 801 E Orange St
Hoopeston Community Memorial Hospital Dba Charlotte Ann
Hoopeston, IL 60942-1802 - Phone
- (217) 283-5644
- Fax
- (217) 283-7432
- NPI assigned
- Dec 28, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hoopeston Community Memorial Hospital
Practice addresses (Care Compare)
701 E Orange St
Hoopeston, IL 60942-1801
Phone (217) 283-5531
Hospital & facility affiliations
- Carle Hoopeston Regional Health Center
- Carle Foundation Hospital
- Riverside Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- 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 |
|---|---|---|---|---|
| I20051103000566 | IL | Practitioner - Physician Assistant | 0547288086 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085-002550 | IL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoopeston Community Memorial Hospital | Current |
Accepting new patients | |
| Carle Health Care Incorporated | Current |
Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531
801 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 085-002550 | IL | Yes |
Addresses
Primary practice location
801 E Orange St
Hoopeston Community Memorial Hospital Dba Charlotte Ann
Hoopeston, IL 60942-1802
Mailing address
611 W Park St
BWPC
Urbana, IL 61801-2500
Phone (217) 383-6792
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085002550 | Other | IL | STATE LICENSE NUMBER |
| 108919 | Other | IL | HEALTH ALLIANCE |
Other providers in Hoopeston, IL
- Lincare Inc
- Patricia M Maloney
- Teresa M Marganski
- William D McCarthy
- Robert Lynn McConkey
- Alexander Ronald McMahan
- Nevaeh Dakota Mitchell
- Aslam Ahmed Mohammed
- Sierra Darlene Moyer
- Michael Dean Palmer
All providers in Hoopeston, IL · Medical Physician Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2015. 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.