NPIMap

Individual provider Active NPI

Melanie Elizabeth Hutchinson, D.O.

  • Family Medicine Physician
  • Enid, OK
National Provider Identifier
1861872905
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5999 Issued in OK
Practice address
1900 W Willow Rd
Enid, OK 73703-2441
Phone
(580) 249-3782
Fax
(580) 599-6446
NPI assigned
Jun 3, 2015
Last updated
Oct 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5999 OK Primary

Addresses

Primary practice location

1900 W Willow Rd
Enid, OK 73703-2441

Mailing address

PO Box 3046
Malvern, PA 19355-0746
Phone (580) 249-3782

Other practice location 1

310 E Owen K Garriott Rd
Enid, OK 73701-5712
Phone (580) 249-3782

Other practice location 2

1025 Straka Ter
Oklahoma City, OK 73139-2544
Phone (405) 632-6688

Other identifiers 1

IdentifierTypeStateIssuer
1F4503OtherOKPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20170406001242 OK Practitioner - Family Practice 9537445598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1900 W Willow Rd
Enid, OK 73703-2441
Phone (580) 249-3782

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5999OKMDClinical Social Worker
1900NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary's Physician Associates, LLC CurrentSince Oct 1, 2020 Accepting new patients
St. Mary's Physician Associates, LLC Family Medicine CurrentSince Oct 1, 2020 Accepting new patients
Summit Medical Center Past Accepting new patients
Charles Drew Health Center Inc PastSince May 25, 2021 Accepting new patients
Uhs of Oklahoma, LLC Past Accepting new patients

Locations

1900 W Willow Rd
Enid, OK 73703
Phone (580) 233-1667

310 E Owen K Garriott Rd
Enid, OK 73701
Phone (580) 213-3333

330 S 5th St
Ste 401
Enid, OK 73701
Phone (580) 233-9700

Interoperability endpoints

  • Direct secure messaging: melanie.hutchinson.d1.p1@direct.charlesdrew.nextgenshare.com

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 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": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1861872905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3046",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193550746",
            "telephone_number": "580-249-3782",
            "fax_number": "580-599-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W WILLOW RD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737032441",
            "telephone_number": "580-249-3782",
            "fax_number": "580-599-6446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 E Owen K Garriott Rd",
            "address_purpose": "LOCATION",
            "city": "Enid",
            "state": "OK",
            "postal_code": "737015712",
            "country_code": "US",
            "telephone_number": "580-249-3782",
            "fax_number": "580-599-6446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 Straka Ter",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731392544",
            "country_code": "US",
            "telephone_number": "405-632-6688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUTCHINSON",
        "first_name": "MELANIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "5999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "1F4503",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

Verify at the official NPI Registry.