Individual provider Active NPI

Melissa Anne Davey, FNP-C

  • Family Nurse Practitioner
  • Watertown, WI
National Provider Identifier
1891129482
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9030-33 Issued in WI
Practice address
125 Hospital Dr
Watertown, WI 53098
Phone
(920) 262-4825
NPI assigned
Aug 30, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9030-33 WI Primary
Home Health Registered Nurse 163WH0200X 197134-30 WI

Addresses

Primary practice location

125 Hospital Dr
Watertown, WI 53098

Mailing address

1025 Mulberry St
Lake Mills, WI 53551-1304
Phone (920) 648-4518

Other practice location 1

125 Hospital Dr
Watertown, WI 53098
Phone (920) 262-4825

Other names 1

  • Melissa Lindner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, NY, VA, WA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20190509000694 WI Practitioner - Nurse Practitioner 3072855253 Reassigns benefits to 2 organizations
I20240417001559 NY Practitioner - Nurse Practitioner 3072855253
I20240430000546 VA Practitioner - Nurse Practitioner 3072855253 Reassigns benefits to 1 organization
I20240507002216 WA Practitioner - Nurse Practitioner 3072855253 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
197134-30WIMDHome Health Registered Nurse
9030-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Chiropractic and Wellness CurrentSince Mar 1, 2020 Accepting new patients
Tapestry Telehealth PLLC CurrentSince Mar 10, 2024 Accepting new patients
Watertown Physician Practices LLC CurrentSince May 1, 2019 Accepting new patients
Watertown Physician Practices LLC CurrentSince May 1, 2019 Accepting new patients
Watertown Physician Practices LLC Family Current Accepting new patients

Locations

99 Hawley Ln
Ste 1102
Stratford, CT 06614

116 E 125th St
New York, NY 10035
Phone (212) 395-9000

6060 Armor Rd
Orchard Park, NY 14127
Phone (716) 662-2544

7 Hemion Rd
Ste 110
Suffern, NY 10901

10701 Main St
Fairfax, VA 22030
Phone (703) 273-7705

3900 Westerre Pkwy
Ste 300
Richmond, VA 23233
Phone (301) 928-5012

2830 I St NE
Auburn, WA 98002
Phone (253) 561-8100

1400 112th Ave SE
Bellevue, WA 98004
Phone (206) 226-7826

2961 Saint Anthony Dr
Green Bay, WI 54311
Phone (920) 468-0861

520 Hartbrook Dr
Ste H
Hartland, WI 53029
Phone (262) 367-7900

1025 Mulberry St
Lake Mills, WI 53551
Phone (920) 261-9591

1433 N Water St
Ste 400
Milwaukee, WI 53202
Phone (414) 289-7154

1507 Doctors Ct
Watertown, WI 53094
Phone (920) 261-4111

125 Hospital Dr
Watertown, WI 53098
Phone (920) 261-4210

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1891129482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MULBERRY ST",
            "city": "LAKE MILLS",
            "state": "WI",
            "postal_code": "535511304",
            "telephone_number": "920-648-4518",
            "fax_number": "920-648-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 HOSPITAL DR",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "53098",
            "telephone_number": "920-262-4825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "WI",
            "postal_code": "53098",
            "country_code": "US",
            "telephone_number": "920-262-4825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVEY",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-30",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "9030-33",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": "197134-30",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "LINDNER",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Watertown, WI

Sources for this page

Verify at the official NPI Registry.