Melinda Gaye Becknell
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Kennett, MO
NPI 1841999786 · NPPES record last updated May 7, 2024
Key facts
- NPI
- 1841999786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 2024012465 (MO)
- Practice address
- 935 State Route VV
Kennett, MO 63857-3822 - Phone
- (573) 888-5925
- NPI assigned
- Feb 28, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- St Bernards Hospital Inc.
Family Counseling Center Inc
Practice addresses (Care Compare)
2712 E Johnson Ave
Jonesboro, AR 72405-1874
Phone (870) 972-4100
935 State Route VV
Kennett, MO 63857-3822
Phone (573) 888-5925
Hospital & facility affiliations
- St Bernards Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240513002319 | MO | Practitioner - Nurse Practitioner | 4183065899 | Reassigns benefits to 1 organization |
| I20250205003219 | AR | Practitioner - Nurse Practitioner | 4183065899 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Bernards Hospital Inc. | Current |
Accepting new patients | |
| Family Counseling Center, Inc. | Current |
Accepting new patients | |
| St Bernards Hospital Inc | Current |
Accepting new patients | |
| Family Counseling Center, Inc. | Current |
Accepting new patients | |
| St. Bernards Hospital, Inc | Current | Accepting new patients |
Locations
2712 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 268-4107
615 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 494-5568
1201 Fleming Ave
Jonesboro, AR 72401
Phone (870) 932-0440
20 S Sprigg St
Cape Girardeau, MO 63703
Phone (573) 651-4177
915 Highway 84 W
Caruthersville, MO 63830
Phone (573) 333-5975
315 E Walnut St
Ellington, MO 63638
Phone (573) 663-2500
500 State Highway J
Hayti, MO 63851
Phone (573) 359-9840
1109 Jones St
Kennett, MO 63857
Phone (573) 888-6454
5 Sugar Creek Rd
Piedmont, MO 63957
Phone (573) 223-4169
3001 Warrior Ln
Poplar Bluff, MO 63901
Phone (573) 785-7453
686 Lester St
Poplar Bluff, MO 63901
Phone (573) 686-2411
3411 Division Dr
West Plains, MO 65775
Phone (417) 257-9152
1015 Lanton Rd
West Plains, MO 65775
Phone (417) 256-2570
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2024012465 | MO | Yes |
Addresses
Primary practice location
935 State Route VV
Kennett, MO 63857-3822
Mailing address
925 St Hwy VV
Kennett, MO 63857
Phone (573) 888-5925
Other providers in Kennett, MO
- Krista K Bates
- Tyler A Battles
- Tracey Beaver
- Berley Beck
- Jeffrey Tyler Beck
- Erin Jon Bedwell
- Christina L Bellers
- Evy Jo Benjamin
- Devante S Bennett
- Donna Marie Bennett
All providers in Kennett, MO · Psychiatric/Mental Health Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.