Individual provider Active NPI

Melissa Chesmore

  • Psychiatric/Mental Health Nurse Practitioner
  • Madison, WI
National Provider Identifier
1831404474
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
676233 Issued in WI
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

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1831404474MedicaidWI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160122000089 WI Practitioner - Nurse Practitioner 8426351651 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
676233WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Meriter Hospital, Inc. CurrentSince Jul 17, 2023 Accepting new patients
Meriter Hospital, Inc. CurrentSince Jul 17, 2023 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 CurrentSince Jan 5, 2016 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.