Melissa Ann Hurley, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10954 Issued in KS

Practice address

102 S Main St
Medicine Lodge, KS 67104-1409

Phone

(620) 886-5057

Fax

(620) 513-5098

NPI assigned

Mar 4, 2022

Last updated

Oct 16, 2026By 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 identifiers 1

Other names 1

• Melissa Ann Vanwagoner Former name

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Horizons Mental Health Center, Inc.Group PAC ID 2163418120, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Horizons Mental Health Center, Inc.

  • Community/Behavioral Health Agency
  • Hutchinson, KS
  • NPI 1447354089

  Social Worker

  Medicare reassignment Care Compare group NPD
• Horizons Mental Health Center, Inc.

  • Community/Behavioral Health Agency
  • Anthony, KS
  • NPI 1417432642
  NPD (past)
• Horizons Mental Health Center, Inc.

  • Community/Behavioral Health Agency
  • Medicine Lodge, KS
  • NPI 1427533652
  NPD (past)

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1972250454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N LORRAINE ST STE 202",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675015600",
            "telephone_number": "620-663-7595",
            "fax_number": "620-513-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S MAIN ST",
            "city": "MEDICINE LODGE",
            "state": "KS",
            "postal_code": "671041409",
            "telephone_number": "620-886-5057",
            "fax_number": "620-513-5098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 N Pennsylvania Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Anthony",
            "state": "KS",
            "postal_code": "670032935",
            "country_code": "US",
            "telephone_number": "620-842-3768",
            "fax_number": "620-513-5098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURLEY",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-04",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "10954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004789960001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "VANWAGONER",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anna Arlene Goossen, PA
• John C Hagood, R.PH., P.D.
• Jill Anne Helmer, TLMLP
• Hope Elizabeth Hewitt, NP
• Horizons Mental Health Center, Inc.
• J C H Consulting Inc (Hibbards Prescriptions Plus)
• Reginald Alexis Jones
• Logan Kiser
• Lesley Hill, LLC
• Christopher P. Martin, RN

• Clinical Social Worker in Medicine Lodge, KS
• Providers in Medicine Lodge, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; 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.