Melissa L N Basford, MD
Individual provider Active NPI Family Medicine Physician · Kalispell, MT
NPI 1972770592 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1972770592
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MEDPHYSLIC26397 (MT)
- Practice address
- 310 Sunnyview LN
Kalispell, MT 59901-3129 - Phone
- (406) 751-5310
- Fax
- (406) 751-3068
- NPI assigned
- May 13, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131205000032 | MT | Practitioner - Family Practice | 8628205218 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MEDPHYSLIC26397 | MT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. John'S Lutheran Hospital, Inc. | Family Medicine | Current |
Accepting new patients |
| St John'S Lutheran Hospital Physician'S Services | Current | Accepting new patients |
Locations
209 Health Park Dr
Libby, MT 59923
Phone (406) 283-7000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | MEDPHYSLIC26397 | MT | Yes |
Addresses
Primary practice location
310 Sunnyview LN
Kalispell, MT 59901-3129
Mailing address
310 Sunnyview LN
Kalispell, MT 59901-3129
Phone (406) 751-5310
Other practice location 1
202 Conway Dr
Suite 200
Kalispell, MT 59901-3153
Phone (406) 752-8433
Other names
- Melissa L Nelson
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | krmcmedicalrecords@krhdirect.org | Kalispell Regional Medical Center Inc |
Other providers in Kalispell, MT
- Richard Dale Bartlett
- Rita R Bartlett
- Jeanne M. Bartscher
- Base Vitality PLLC
- Base Vitality PLLC
- Basler Family Chiropractic PC
- Alisha Basler
- Cody Claude Basler
- Julie W Bates
- Robert W Bates
All providers in Kalispell, MT · Family Medicine Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.