Individual provider Active NPI

Melinda Gaye Becknell

  • Psychiatric/Mental Health Nurse Practitioner
  • Kennett, MO
National Provider Identifier
1841999786
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2024012465 Issued in MO
Practice address
935 State Route VV
Kennett, MO 63857-3822
Phone
(573) 888-5925
NPI assigned
Feb 28, 2023
Last updated
May 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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 2024012465 MO Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240513002319 MO Practitioner - Nurse Practitioner 4183065899 Reassigns benefits to 1 organization
I20250205003219 AR Practitioner - Nurse Practitioner 4183065899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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.Group PAC ID 0941105480, 187 clinicians
Family Counseling Center IncGroup PAC ID 2163410481, 39 clinicians

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Counseling Center, Inc. CurrentSince Apr 19, 2024 Accepting new patients
St Bernards Hospital Inc CurrentSince Feb 1, 2025 Accepting new patients
St Bernards Hospital Inc. CurrentSince Feb 1, 2025 Accepting new patients
St. Bernards Hospital, Inc Current Accepting new patients
Family Counseling Center, Inc. CurrentSince Apr 19, 2024 Accepting new patients

Locations

1201 Fleming Ave
Jonesboro, AR 72401
Phone (870) 932-0440

2712 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 268-4107

615 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 494-5568

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) 223-7649

3001 Warrior Ln
Poplar Bluff, MO 63901
Phone (573) 868-1200

686 Lester St
Poplar Bluff, MO 63901
Phone (573) 686-2411

1015 Lanton Rd
West Plains, MO 65775
Phone (417) 256-2570

3411 Division Dr
West Plains, MO 65775
Phone (417) 257-9152

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1841999786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 ST HWY VV",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "63857",
            "telephone_number": "573-888-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 STATE ROUTE VV",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638573822",
            "telephone_number": "573-888-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKNELL",
        "first_name": "MELINDA",
        "middle_name": "GAYE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-28",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2024012465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennett, MO

Sources for this page

Verify at the official NPI Registry.