Individual provider Active NPI

Melissa Godar, FNP

  • Nurse Practitioner
  • O'Fallon, MO
National Provider Identifier
1912383274
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2015009132 Issued in MO
Practice address
5551 Winghaven Blvd Ste 20
O Fallon, MO 63368-3618
Phone
(314) 944-3711
Fax
(660) 205-2524
NPI assigned
Aug 9, 2015
Last updated
Apr 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2015009132 MO Primary
Family Nurse Practitioner 363LF0000X 2015009132 MO

Addresses

Primary practice location

5551 Winghaven Blvd Ste 20
O Fallon, MO 63368-3618

Mailing address

5551 Winghaven Blvd Ste 20
O Fallon, MO 63368-3618
Phone (314) 944-3711

Other names 1

  • Melissa Eilers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 28, 2022 through Feb 29, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2015009132MOMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1439078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1912383274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5551 WINGHAVEN BLVD STE 20",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633683618",
            "telephone_number": "314-944-3711",
            "fax_number": "660-205-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5551 WINGHAVEN BLVD STE 20",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633683618",
            "telephone_number": "314-944-3711",
            "fax_number": "660-205-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODAR",
        "first_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-09",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2015009132",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2015009132",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "EILERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in O'Fallon, MO

Sources for this page

Verify at the official NPI Registry.