Active NPI
Melissa Chesmore
- Psychiatric/Mental Health Nurse Practitioner
- Madison, WI
National Provider Identifier
1831404474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 676233
- Practice address
- 8102 Wellness Way
Madison, WI 53719-8800 - Phone
- (608) 417-8777
- NPI assigned
- Aug 6, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 676233 | WI | Primary |
Addresses
Primary practice location
8102 Wellness Way
Madison, WI 53719-8800
Mailing address
1002 Lincoln Ave
Baraboo, WI 53913-1808
Phone (608) 356-9055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831404474 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160122000089 | WI | Practitioner - Nurse Practitioner | 8426351651 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 676233 | WI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meriter Hospital, Inc. | Current | Accepting new patients | |
| Meriter Hospital, Inc. | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Meriter Hospital, Inc. | Current | Accepting new patients | |
| Group Health Cooperative of South Central Wisconsin | Current | Accepting new patients |
Locations
3051 Cahill Main
Fitchburg, WI 53711
Phone (608) 257-9700
8102 Wellness Way
Madison, WI 53719
Phone (608) 417-8777
202 S Park St
Madison, WI 53715
Phone (608) 267-6000
8202 Excelsior Dr
Madison, WI 53717
Phone (608) 831-1766
Interoperability endpoints
- mchesmore978301@direct.unitypoint.org
Organizations & group practices 5
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.
-
- Health Maintenance Organization
- Madison, WI
- NPI 1245260165
WI
-
- Rehabilitation Clinic/Center
- Madison, WI
- NPI 1073672556
-
- General Practice Physician
- Madison, WI
- NPI 1932572955
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1831404474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 LINCOLN AVE",
"city": "BARABOO",
"state": "WI",
"postal_code": "539131808",
"telephone_number": "608-356-9055",
"fax_number": "608-356-5447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8102 WELLNESS WAY",
"city": "MADISON",
"state": "WI",
"postal_code": "537198800",
"telephone_number": "608-417-8777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHESMORE",
"first_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-06",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WI",
"license": "676233",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1831404474",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.