Individual provider Active NPI

Melissa Dee Whitmire, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Thorndale, TX
National Provider Identifier
1902576531
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1054565 Issued in TX
Practice address
200 Sydney
Thorndale, TX 76577-5432
Phone
(512) 898-4001
Fax
(512) 898-4201
NPI assigned
Sep 15, 2021
Last updated
Sep 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1054565 TX Primary

Addresses

Primary practice location

200 Sydney
Thorndale, TX 76577-5432

Mailing address

200 Sydney
Thorndale, TX 76577-5432
Phone (512) 898-4001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20211101001895 TX Practitioner - Nurse Practitioner 1658769229 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Camrock Medical Clinic, PLLCGroup PAC ID 3274959325, 7 clinicians

Practice addresses (Care Compare)

201 N Fannin Ave
Cameron, TX 76520-3363
Phone (512) 446-2277

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
73.08
Promoting interoperability
92
Improvement activities
40
Cost
80.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1054565TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Melissa Whitmire NP PLLC Family CurrentSince Dec 1, 2021 Accepting new patients
Camrock Medical Clinic, PLLC Family CurrentSince Feb 1, 2024 Accepting new patients

Locations

201 N Fannin Ave
Cameron, TX 76520
Phone (512) 446-2277

602 N Main St
Rockdale, TX 76567
Phone (512) 446-2277

Interoperability endpoints

  • Direct secure messaging: melissa.whitmire.1@23609.direct.athenahealth.com
  • Direct secure messaging: melissa.whitmire.1@30075.direct.athenahealth.com

Organizations & group practices 2

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": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1902576531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SYDNEY",
            "city": "THORNDALE",
            "state": "TX",
            "postal_code": "765775432",
            "telephone_number": "512-898-4001",
            "fax_number": "512-898-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SYDNEY",
            "city": "THORNDALE",
            "state": "TX",
            "postal_code": "765775432",
            "telephone_number": "512-898-4001",
            "fax_number": "512-898-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMIRE",
        "first_name": "MELISSA",
        "middle_name": "DEE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1054565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thorndale, TX

Sources for this page

Verify at the official NPI Registry.