Organization Active NPI

Melissa Wendell MSN CNM LLC

  • Clinic/Center
  • Decatur, IL
National Provider Identifier
1992540926
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MELISSA WENDELL MSN CNM LLC
Practice address
675 E Snyder Dr Ste 1
Decatur, IL 62526-4701
Phone
(217) 875-1886
Fax
(217) 875-3120
NPI assigned
Jul 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Authorized official

Name
Melissa Wendell, CNMNPI 1598039661
Title
Nurse Midwife
Phone
(217) 875-1886

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

675 E Snyder Dr Ste 1
Decatur, IL 62526-4701

Mailing address

1280 W Ash Ave
Decatur, IL 62526-1208
Phone (217) 358-0639

National Provider Directory

National Provider Directory

Locations

675 E Snyder Dr
Ste 1
Decatur, IL 62526
Phone (217) 875-1886

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1992540926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 W ASH AVE",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625261208",
            "telephone_number": "217-358-0639",
            "fax_number": "217-875-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 E SNYDER DR STE 1",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264701",
            "telephone_number": "217-875-1886",
            "fax_number": "217-875-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA WENDELL MSN CNM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "WENDELL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "NURSE MIDWIFE",
        "authorized_official_telephone_number": "217-875-1886",
        "authorized_official_credential": "CNM"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.