Lisa Michelle Melody, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA61112006 Issued in WA

Practice address

1213 24TH St Ste 100
Anacortes, WA 98221-2595

Phone

(360) 293-3101

NPI assigned

Mar 13, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Lisa Michelle Fuehrer Former name

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Public Hospital District No 2 Skagit County Washington

  • Rural Health Clinic/Center
  • Lopez, WA
  • NPI 1740203967
  Medicare reassignment
• Public Hospital District No 2 Skagit County Washington

  • Rural Health Clinic/Center
  • Eastsound, WA
  • NPI 1245827781
  NPD
• Public Hospital District No 2 Skagit County Washington

  • Clinic/Center
  • Anacortes, WA
  • NPI 1356591077
  NPD

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1942575675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 24TH ST",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212562",
            "telephone_number": "360-299-4945",
            "fax_number": "360-299-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 24TH ST STE 100",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212595",
            "telephone_number": "360-293-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELODY",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-13",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA22082",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA61112006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "FUEHRER",
            "middle_name": "MICHELLE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nora B McMillan, ARNP
• Malcolm Douglas McPhee, DPT
• Susan Hill Meagher, R.N.
• Samuel Tyler Medick, DNP, ARNP
• Virginia Ann Meindl, M.S.
• Dion Lynn Menser-Andreini, LMFT
• Coralie Sophie Meslin, ARNP
• Mallory Ruth Metzger, M.S., CCC-SLP
• Tara Janell Milas, LMP
• Elizabeth Miller, PA-C

• Medical Physician Assistant in Anacortes, WA
• Providers in Anacortes, WA by specialty
• Medical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.