Melissa G Koon, ANP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

339 Issued in AK

Practice address

7740 N Oracle Rd
Tucson, AZ 85704-6313

Phone

(520) 544-9890

Fax

(520) 544-9894

NPI assigned

Nov 13, 2008

Last updated

May 14, 2015By 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

Medicare fee-for-service enrollment

Enrolled in AZ

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)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: melissa.koon.1@23082.direct.athenahealth.com

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.

• Elderhealth PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Oro Valley, AZ
  • NPI 1336746692
  Medicare reassignment NPD

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431561600000",
    "number": "1952555120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7740 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857046313",
            "telephone_number": "520-544-9890",
            "fax_number": "520-544-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7740 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857046313",
            "telephone_number": "520-544-9890",
            "fax_number": "520-544-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOON",
        "first_name": "MELISSA",
        "middle_name": "G",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-13",
        "last_updated": "2015-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AK",
            "license": "339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elise Fassler Konigsberg, WHCNP
• Julie Konigsberg, LCSW
• Bonjung Jane Koo, D.D.S.
• Elizabeth Koo, D.D.S.
• Gwen Marie Kooi, OTR
• Gerald M Koori
• Brice David Kopas, MD
• Rebecca M Kopas, MD
• Rebecca Kopec, MT
• Kerry Kopecky, FNP

• Nurse Practitioner in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.