Individual provider Active NPI

Melanie S Hanley, PA-C

  • Physician Assistant
  • Delta, CO
National Provider Identifier
1932549979
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0004634 Issued in CO
Practice address
1450 Burgess St
Delta, CO 81416-2849
Phone
(970) 874-7668
NPI assigned
Jul 3, 2013
Last updated
Jun 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0004634 CO Primary

Addresses

Primary practice location

1450 Burgess St
Delta, CO 81416-2849

Mailing address

PO Box 10100
Delta, CO 81416-0008
Phone (970) 874-2470

Other practice location 1

230 Hotchkiss Ave
Hotchkiss, CO 81419-7608
Phone (970) 872-1400

Other practice location 2

296 Stafford Ln
Delta, CO 81416-2273
Phone (970) 874-5777

Other practice location 3

1501 E 3rd St
Delta, CO 81416-2815
Phone (970) 399-2611

Other identifiers 1

IdentifierTypeStateIssuer
54730091MedicaidCO

Other names 1

  • Melanie S Bouthillier Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20160607000618 CO Practitioner - Physician Assistant 2668696667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delta County Memorial HospitalGroup PAC ID 1850200601, 107 clinicians

Practice addresses (Care Compare)

1450 Burgess St
Delta, CO 81416-2849
Phone (970) 874-7668

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3066CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Delta County Memorial Hospital CurrentSince Dec 1, 2023 Accepting new patients
Delta County Memorial Hospital CurrentSince Dec 1, 2023 Accepting new patients
Delta County Memorial Hospital Family Medicine Past Accepting new patients
Delta County Memorial Hospital Past Accepting new patients

Locations

1450 Burgess St
Delta, CO 81416
Phone (970) 874-7668

1501 E 3rd St
Delta, CO 81416
Phone (970) 874-2470

296 Stafford Ln
Delta, CO 81416
Phone (970) 874-4399

296 Stafford Ln
Ste B
Delta, CO 81416
Phone (970) 874-4427

230 Hotchkiss Ave
Hotchkiss, CO 81419
Phone (970) 872-1400

Interoperability endpoints

  • Direct secure messaging: melanie.hanley.1@12539.direct.athenahealth.com

Organizations & group practices 4

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 6

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": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1932549979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10100",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814160008",
            "telephone_number": "970-874-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 BURGESS ST",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814162849",
            "telephone_number": "970-874-7668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 Hotchkiss Ave",
            "address_purpose": "LOCATION",
            "city": "Hotchkiss",
            "state": "CO",
            "postal_code": "814197608",
            "country_code": "US",
            "telephone_number": "970-872-1400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "296 Stafford Ln",
            "address_purpose": "LOCATION",
            "city": "Delta",
            "state": "CO",
            "postal_code": "814162273",
            "country_code": "US",
            "telephone_number": "970-874-5777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Delta",
            "state": "CO",
            "postal_code": "814162815",
            "country_code": "US",
            "telephone_number": "970-399-2611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANLEY",
        "first_name": "MELANIE",
        "middle_name": "S",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-03",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0004634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54730091",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "BOUTHILLIER",
            "middle_name": "S",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Delta, CO

Sources for this page

Verify at the official NPI Registry.