Individual provider Active NPI

Melinda Heutinck, ANP-C, PMHNP-C

  • Adult Health Nurse Practitioner
  • Liberty, MO
National Provider Identifier
1912178575
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
146726 Issued in MO
Practice address
1504 NE 96TH St Ste a
Liberty, MO 64068-1351
Phone
(816) 415-2233
Fax
(816) 415-2218
NPI assigned
Mar 21, 2008
Last updated
Aug 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 146726 MO Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 146726 MO

Addresses

Primary practice location

1504 NE 96TH St Ste a
Liberty, MO 64068-1351

Mailing address

1504 NE 96TH St Ste a
Liberty, MO 64068-1351
Phone (816) 415-2233

Other identifiers 4

IdentifierTypeStateIssuer
06215024OtherMOBCBS KCMO GROUP
146726OtherMOMO STATE BOARD OF NURSING
0110035OtherKSBCBS KS GROUP
09841048OtherMOBCBS KCMO

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20221213002354 MO Practitioner - Family Practice 7719356757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Missouri, Kansas City, School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Liberty Medical Center PCGroup PAC ID 1759310584, 2 clinicians

Practice addresses (Care Compare)

1504 NE 96TH St
Liberty, MO 64068-1348
Phone (816) 415-2233

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Medical Center, PC CurrentSince Dec 1, 2022 Accepting new patients
Liberty Medical Center PC CurrentSince Dec 1, 2022 Accepting new patients

Locations

1504 NE 96th St
Liberty, MO 64068
Phone (816) 415-2233

1504 NE 96th St
Ste A
Liberty, MO 64068
Phone (816) 415-2233

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.

NPI Registry JSON

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1912178575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 NE 96TH ST STE A",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681351",
            "telephone_number": "816-415-2233",
            "fax_number": "816-415-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 NE 96TH ST STE A",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681351",
            "telephone_number": "816-415-2233",
            "fax_number": "816-415-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEUTINCK",
        "first_name": "MELINDA",
        "credential": "ANP-C, PMHNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-21",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "146726",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "146726",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KCMO GROUP",
            "identifier": "06215024",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO STATE BOARD OF NURSING",
            "identifier": "146726",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KS GROUP",
            "identifier": "0110035",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KCMO",
            "identifier": "09841048",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, MO

Sources for this page

Verify at the official NPI Registry.