NPIMap

Individual provider Active NPI

Melissa Rix

  • Family Nurse Practitioner
  • Kellogg, ID
National Provider Identifier
1992586309
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
77694 Issued in ID
Practice address
740 McKinley Ave
Kellogg, ID 83837-2693
Phone
(208) 783-1267
NPI assigned
Oct 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 77694 ID
Family Nurse Practitioner 363LF0000X 77694 ID Primary

Addresses

Primary practice location

740 McKinley Ave
Kellogg, ID 83837-2693

Mailing address

3390 S Pung Rd
Coeur D Alene, ID 83814-6289
Phone (208) 627-2137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231116002735 ID Practitioner - Nurse Practitioner 2163879883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dirne Health Centers IncGroup PAC ID 2466353354, 82 clinicians

Practice addresses (Care Compare)

740 McKinley Ave
Kellogg, ID 83837-2693
Phone (208) 783-1267

Hospital & facility affiliations

  • Loving Care and More Home health agency, Silverton, ID, CCN 137074
  • Shoshone Medical Center Hospital, Kellogg, ID, CCN 131314
  • Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dirne Health Centers, Inc. Family Medicine CurrentSince Oct 13, 2023 Accepting new patients
Dirne Health Centers, Inc. Family Medicine CurrentSince Oct 13, 2023 Accepting new patients

Locations

2205 N Ironwood Pl
Coeur D Alene, ID 83814
Phone (208) 292-0303

1090 W Park Pl
Coeur D Alene, ID 83814
Phone (208) 215-2005

3700 W Seltice Way
Coeur D Alene, ID 83814
Phone (208) 620-5250

740 McKinley Ave
Kellogg, ID 83837
Phone (208) 783-1267

925 E Polston Ave
Post Falls, ID 83854
Phone (208) 618-0787

16760 N Highway 41
Rathdrum, ID 83858
Phone (208) 687-5627

120 S 13th St
St Maries, ID 83861
Phone (208) 245-4363

Interoperability endpoints

  • Direct secure messaging: melissa.rix.1@16899.direct.athenahealth.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1992586309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 S PUNG RD",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838146289",
            "telephone_number": "208-627-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 MCKINLEY AVE",
            "city": "KELLOGG",
            "state": "ID",
            "postal_code": "838372693",
            "telephone_number": "208-783-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIX",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "77694",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "77694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kellogg, ID

Sources for this page

Verify at the official NPI Registry.