Melanie R Soper, FNP-BC is a medicare enrolled "Nurse Practitioner - Primary Care" in Wilkeson, Washington. Her current practice location is
30811 Quinnon Ext Rd E, Wilkeson, Washington. You can reach out to her office (for appointments etc.) via phone at
(906) 280-3918.
Melanie R Soper is licensed to practice in Washington (license number AP61317504) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184197568.
Provider's Profile
Full Name | Melanie R Soper |
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Gender | Female |
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Speciality | Nurse Practitioner - Primary Care |
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Location | 30811 Quinnon Ext Rd E, Wilkeson, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1184197568
- Provider Enumeration Date: 01/08/2019
- Last Update Date: 09/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 8527499771
- Enrollment ID: I20220901000550
Medical Identifiers
Medical identifiers for Melanie R Soper such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184197568 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP2300X | Nurse Practitioner - Primary Care | AP61317504 (Washington) | Primary |
163W00000X | Registered Nurse | 222244-30 (Wisconsin) | Secondary |
163W00000X | Registered Nurse | 4704226990 (Michigan) | Secondary |
163W00000X | Registered Nurse | 28251764A (Indiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 71009982A (Indiana) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Melanie R Soper is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Melanie R Soper, FNP-BC Po Box 90, Wilkeson, WA 98396-0090 Ph: () - | Melanie R Soper, FNP-BC 30811 Quinnon Ext Rd E, Wilkeson, WA 98396-1004 Ph: (906) 280-3918 |
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