Melissa Rose Walker, CNP

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

8566 Issued in MN

Practice address

200 Elm St N
Onamia, MN 56359-7901

Phone

(320) 532-3154

NPI assigned

Jan 11, 2022

Last updated

Jan 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Melissa Rose Fultz Former name

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mille Lacs Health SystemGroup PAC ID 4789577834, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mille Lacs Health System Hospital, Onamia, MN, CCN 241356

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mille Lacs Health System

  dba Critical Access Hospital

  • Critical Access Hospital
  • Onamia, MN
  • NPI 1548212699
  Medicare reassignment Care Compare group NPD
• Mille Lacs Health System

  dba Mille Lacs Family Health Center

  • Rural Health Clinic/Center
  • Hillman, MN
  • NPI 1326200411
  NPD
• Mille Lacs Health System

  dba Mille Lacs Family Health Center

  • Multi-Specialty Clinic/Center
  • Garrison, MN
  • NPI 1629231121
  NPD
• Mille Lacs Health System

  dba MLHS Community Pharmacy

  • Community/Retail Pharmacy
  • Onamia, MN
  • NPI 1841947801
  NPD
• Mille Lacs Health System

  dba Mille Lacs Family Clinic Onamia

  • Rural Health Clinic/Center
  • Onamia, MN
  • NPI 1275796773
  NPD (past)
• Mille Lacs Health System

  dba Mille Lacs Family Health Center

  • Rural Health Clinic/Center
  • Isle, MN
  • NPI 1497917587
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mille Lacs Health System

  dba Critical Access Hospital

  • Critical Access Hospital
  • Onamia, MN
  • NPI 1548212699
  Care Compare affiliation

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1952052912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39439 TWILIGHT RD",
            "city": "ONAMIA",
            "state": "MN",
            "postal_code": "563597928",
            "telephone_number": "763-567-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ELM ST N",
            "city": "ONAMIA",
            "state": "MN",
            "postal_code": "563597901",
            "telephone_number": "320-532-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MELISSA",
        "middle_name": "ROSE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MN",
            "license": "8566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "FULTZ",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ijeoma Alinyoun Toulassi, MD
• Justin Lawrence Towne, CRNA
• Cyndy Travers, REGISTERED DIETIAN
• Arden Edward Virnig, M.D.
• Misty Lynn Virnig, MS, LADC
• Tara Robin Wallace, RD LD
• Crystal Weckert
• Jayme Lynn Westling, PHARMD
• Jennifer Rae Will, RN
• Jessica Jane Willman, HHA

• Adult Medicine Physician in Onamia, MN
• Providers in Onamia, MN by specialty
• Adult Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.