Active NPI
Melissa Ann Wheeler, LAC
- Acupuncturist
- Portland, OR
National Provider Identifier
1871202275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC213797
- Practice address
- 1971 NW Overton St
Portland, OR 97209-1618 - Phone
- (971) 302-6171
- NPI assigned
- Nov 15, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC213797 | OR | Primary |
Addresses
Primary practice location
1971 NW Overton St
Portland, OR 97209-1618
Mailing address
1971 NW Overton St
Portland, OR 97209-1618
Phone (540) 354-5374
Other practice location 1
3526 NE 57TH Ave
Portland, OR 97213
Phone (503) 335-9440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC213797 | OR | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Mend PDX LLC | Acupuncturist | Current | Accepting new patients |
Locations
1971 NW Overton St
Portland, OR 97209
Phone (971) 230-0822
Organizations & group practices 1
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.
-
- Acupuncturist
- Portland, OR
- NPI 1467161455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673913600000",
"number": "1871202275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1971 NW OVERTON ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972091618",
"telephone_number": "540-354-5374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1971 NW OVERTON ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972091618",
"telephone_number": "971-302-6171"
}
],
"practiceLocations": [
{
"address_1": "3526 NE 57TH Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "97213",
"country_code": "US",
"telephone_number": "503-335-9440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHEELER",
"first_name": "MELISSA",
"middle_name": "ANN",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-15",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC213797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.