NPIMap

Individual provider Active NPI

Melissa Greeson, P.A.

  • Medical Physician Assistant
  • Tribune, KS
National Provider Identifier
1841609617
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
15-01715 Issued in KS
Practice address
321 E Harper St
Tribune, KS 67879-7708
Phone
(620) 376-4251
Fax
(620) 376-2772
NPI assigned
Aug 6, 2014
Last updated
Nov 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X APPLIED FOR NU
Medical Physician Assistant 363AM0700X 15-01715 KS Primary

Addresses

Primary practice location

321 E Harper St
Tribune, KS 67879-7708

Mailing address

PO Box 640
Tribune, KS 67879-0640
Phone (620) 376-4251

Other practice location 1

505 N Main St
Ulysses, KS 67880-2135
Phone (620) 356-1261

Other names 1

  • Melissa Borthwick Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140902000548 KS Practitioner - Physician Assistant 9032337258 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonspirit Kansas IncGroup PAC ID 4789595844, 62 clinicians
Bob Wilson Memorial Grant County HospitalGroup PAC ID 9436068632, 10 clinicians

Practice addresses (Care Compare)

505 N Main St
Ulysses, KS 67880-2135
Phone (620) 356-1261

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Catherine Hospital CurrentSince Dec 1, 2023 Accepting new patients
Greeley County Health Services, Inc. CurrentSince Aug 27, 2014 Accepting new patients
Commonspirit Kansas, Inc. CurrentSince Dec 1, 2023 Accepting new patients
St. Catherine Hospital Past Accepting new patients
Greeley County Health Services, Inc Past Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

100 W Ross Blvd
Ste 1B
Dodge City, KS 67801
Phone (620) 371-5576

401 E Spruce St
Garden City, KS 67846
Phone (620) 272-2222

321 E Harper St
Tribune, KS 67879
Phone (620) 376-4251

505 N Main St
Ulysses, KS 67880
Phone (316) 356-1261

Interoperability endpoints

  • Direct secure messaging: melissa.borthwick@khindirect.org

Organizations & group practices 7

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 4

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": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1841609617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "TRIBUNE",
            "state": "KS",
            "postal_code": "678790640",
            "telephone_number": "620-376-4251",
            "fax_number": "620-376-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E HARPER ST",
            "city": "TRIBUNE",
            "state": "KS",
            "postal_code": "678797708",
            "telephone_number": "620-376-4251",
            "fax_number": "620-376-2772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 N Main St",
            "address_purpose": "LOCATION",
            "city": "Ulysses",
            "state": "KS",
            "postal_code": "678802135",
            "country_code": "US",
            "telephone_number": "620-356-1261",
            "fax_number": "620-356-3846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREESON",
        "first_name": "MELISSA",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": "APPLIED FOR",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "15-01715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "BORTHWICK",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tribune, KS

Sources for this page

Verify at the official NPI Registry.