Individual provider Active NPI

Melissa Ashley Sprinkle, CNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Clovis, NM
National Provider Identifier
1821492638
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
CNP-02494 Issued in NM
Practice address
2000 W 21St St
Suite a-1
Clovis, NM 88101-4087
Phone
(575) 762-8055
Fax
(575) 763-3351
NPI assigned
Oct 22, 2014
Last updated
Oct 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X CNP-02494 NM Primary

Addresses

Primary practice location

2000 W 21St St
Suite a-1
Clovis, NM 88101-4087

Mailing address

2000 W 21St St
Suite a-1
Clovis, NM 88101-4087
Phone (575) 762-8055

Other names 1

  • Melissa Ashley Clark Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20150113000324 NM Practitioner - Nurse Practitioner 6002130408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2000 W 21St St
Suite R1
Clovis, NM 88101-4098
Phone (575) 935-0944

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
87.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP-02494NMMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Roosevelt County Special Hospital District CurrentSince Aug 8, 2022 Accepting new patients
Roosevelt County Special Hospital District CurrentSince Aug 8, 2022 Accepting new patients
Roosevelt County Special Hospital District Past Accepting new patients

Locations

2000 W 21st St
Ste R1
Clovis, NM 88101
Phone (505) 763-3445

42121 US Highway 70
Portales, NM 88130
Phone (505) 226-3627

Interoperability endpoints

  • Direct secure messaging: melissasprinkle@rghnm.medalliesdirect.net

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 2

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": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1821492638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 W 21ST ST",
            "address_2": "SUITE A-1",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014087",
            "telephone_number": "575-762-8055",
            "fax_number": "575-763-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W 21ST ST",
            "address_2": "SUITE A-1",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014087",
            "telephone_number": "575-762-8055",
            "fax_number": "575-763-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRINKLE",
        "first_name": "MELISSA",
        "middle_name": "ASHLEY",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-22",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NM",
            "license": "CNP-02494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "CLARK",
            "middle_name": "ASHLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clovis, NM

Sources for this page

Verify at the official NPI Registry.