Melissa Am Hertler, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

TL4446 Issued in WY

Practice address

15 Shrine Club Rd
Ste B
Lander, WY 82520-8502

Phone

(307) 332-0900

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Melissa A. Marquardt Former name

Medicare fee-for-service enrollment

Enrolled in WI, WY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

OtolaryngologyAlso: Allergy/Immunology

Education

University of Wisconsin School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prohealth Medical Group IncGroup PAC ID 3476465188, 475 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Waukesha Memorial Hospital Hospital, Waukesha, WI, CCN 520008
• Oconomowoc Memorial Hospital Hospital, Oconomowoc, WI, CCN 520062

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mhertler8807@direct.phci.org

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.

• Prohealth Medical Group Inc.

  • Pediatrics Physician
  • Waukesha, WI
  • NPI 1356322440

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Riverton Physician Practices, LLC

  • Emergency Medicine Physician
  • Riverton, WY
  • NPI 1205875614

  Multi-Specialty

  Medicare reassignment NPD
• Riverton Physician Practices LLC

  dba Wind River Oncology

  • Hematology & Oncology Physician
  • Riverton, WY
  • NPI 1619236791
  NPD
• Prohealth Medical Group Inc

  • Family Medicine Physician
  • Waukesha, WI
  • NPI 1720371719

  Multi-Specialty

  NPD
• Lander Valley Physician Practices, LLC

  • Psychiatry Physician
  • Lander, WY
  • NPI 1215971510

  Multi-Specialty

  NPD (past)
• Prohealth Medical Group Inc

  • Family Medicine Physician
  • Waukesha, WI
  • NPI 1790720613

  Multi-Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prohealth Oconomowoc Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Oconomowoc, WI
  • NPI 1366420531
  Care Compare affiliation
• Prohealth Oconomowoc Memorial Hospital, Inc.

  dba ProHealth Pharmacy - Oconomowoc

  • Community/Retail Pharmacy
  • Oconomowoc, WI
  • NPI 1497942205

  Hospital

  Care Compare affiliation
• Prohealth Waukesha Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Waukesha, WI
  • NPI 1629056890
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1881788180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SHRINE CLUB RD STE B",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825208502",
            "telephone_number": "307-206-1440",
            "fax_number": "307-206-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SHRINE CLUB RD",
            "address_2": "STE B",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825208502",
            "telephone_number": "307-332-0900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20611 Watertown Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531861871",
            "country_code": "US",
            "telephone_number": "414-727-0910",
            "fax_number": "414-727-0920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1005 College View Dr",
            "address_purpose": "LOCATION",
            "city": "Riverton",
            "state": "WY",
            "postal_code": "825012289",
            "country_code": "US",
            "telephone_number": "307-206-1440",
            "fax_number": "307-206-1444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERTLER",
        "first_name": "MELISSA",
        "middle_name": "AM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WI",
            "license": "51837-20",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "WY",
            "license": "TL4446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "MARQUARDT",
            "middle_name": "A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Makayla Hanson, M.S., CCC-SLP
• Jessica Harn
• Scott C. Hayes, LCSW
• Bonnie Jean Hede
• Roy G Hediger, MD
• Robin Hess
• High Country Audiology, P.C. (High Country Hearing Center)
• High Mountain Fitness Physical Therapy & Pilates LLC
• Riley David Hill, DDS
• Hiller Orthopedic Associates, LLC

• Otolaryngology Physician in Lander, WY
• Providers in Lander, WY by specialty
• Otolaryngology Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.