Individual provider Active NPI

Melissa Wills

  • Family Nurse Practitioner
  • Canfield, OH
National Provider Identifier
1841789849
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.022629 Issued in OH
Practice address
3695A Boardman Canfield Rd
Canfield, OH 44406-9009
Phone
(330) 533-3040
Fax
(330) 533-9459
NPI assigned
May 4, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APRN.CNP.022629 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.022629 OH Primary

Addresses

Primary practice location

3695A Boardman Canfield Rd
Canfield, OH 44406-9009

Mailing address

3695A Boardman Canfield Rd
Canfield, OH 44406-9009
Phone (330) 533-3040

Other practice location 1

1241 E Dyer Rd
Santa Ana, CA 92705-5611
Phone (888) 306-0615

Other practice location 2

3000 Corporate Exchange Dr
Columbus, OH 43231-7689
Phone (614) 942-3042

Other identifiers 2

IdentifierTypeStateIssuer
H567910OtherOHMEDICARE
0319600MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20181106003301 OH Practitioner - Nurse Practitioner 3779837992 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blood and Cancer Center IncGroup PAC ID 3375667819, 4 clinicians

Practice addresses (Care Compare)

3695 A Boardman Canfield Rd
Canfield, OH 44406-9009
Phone (330) 533-3040

Hospital & facility affiliations

  • MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064
  • HMHP St Elizabeth Boardman Health Center Hospital, Boardman, OH, CCN 360276
  • Surgical Hospital at Southwoods Hospital, Youngstown, OH, CCN 360352

Merit-based Incentive Payment System (MIPS)

Final score
99.2 of 100Reported as group
Quality
86.54
Promoting interoperability
100
Improvement activities
40
Cost
97.14

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Molina Care Connections, LLC. CurrentSince Oct 29, 2018 Accepting new patients
Blood & Cancer Center Inc CurrentSince Aug 3, 2020 Accepting new patients
Mercy Health Youngstown LLC Past Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

3695A Boardman Canfield Rd
Canfield, OH 44406
Phone (330) 533-3040

3000 Corporate Exchange Dr
Columbus, OH 43231
Phone (614) 942-3042

667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378

Interoperability endpoints

  • Direct secure messaging: mwills716590@direct.bsmhealth.org

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 and National Provider Directory roles.

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": "1525392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1841789849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3695A BOARDMAN CANFIELD RD",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069009",
            "telephone_number": "330-533-3040",
            "fax_number": "330-533-9459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3695A BOARDMAN CANFIELD RD",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069009",
            "telephone_number": "330-533-3040",
            "fax_number": "330-533-9459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1241 E Dyer Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927055611",
            "country_code": "US",
            "telephone_number": "888-306-0615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Corporate Exchange Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432317689",
            "country_code": "US",
            "telephone_number": "614-942-3042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLS",
        "first_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-04",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "APRN.CNP.022629",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.022629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "H567910",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0319600",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canfield, OH

Sources for this page

Verify at the official NPI Registry.