Mrs Kimberly Ann Mellick, MSN, FNP-BC in Jackson, WY

Mrs Kimberly Ann Mellick, MSN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Jackson, Wyoming. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Jackson Whole Family Health Inc and her current practice location is 1415 S Hwy 89, Jackson, Wyoming. You can reach out to her office (for appointments etc.) via phone at (307) 739-8999.

Mrs Kimberly Ann Mellick is licensed to practice in Wyoming (license number 1137) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073897930.

Contact Information

	Mrs Kimberly Ann Mellick, MSN, FNP-BC
	1415 S Hwy 89, Jackson, WY 83001-8515
	(307) 739-8999
	(307) 739-9222

Map and Direction

Provider's Profile

Full Name	Mrs Kimberly Ann Mellick
Gender	Female
Speciality	Nurse Practitioner
Experience	13 Years
Location	1415 S Hwy 89, Jackson, Wyoming
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Kimberly Ann Mellick graduated from nursing school in 2011

NPI Data:

NPI Number: 1073897930
Provider Enumeration Date: 10/10/2011
Last Update Date: 02/15/2021

Medicare PECOS Information:

PECOS PAC ID: 8921260969
Enrollment ID: I20120508000607

Medical Identifiers

Medical identifiers for Mrs Kimberly Ann Mellick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073897930	NPI	-	NPPES
121882400	Medicaid	WY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1137 (Wyoming)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Johns Medical Center	Jackson, WY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Jackson Whole Family Health Inc	0143202085	2

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Kimberly Ann Mellick allows following entities to bill medicare on her behalf.

Entity Name	Jackson Whole Family Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053519918 PECOS PAC ID: 0143202085 Enrollment ID: O20040603001002

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. Mrs Kimberly Ann Mellick 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
Mrs Kimberly Ann Mellick, MSN, FNP-BC Po Box 428, Jackson, WY 83001-0428 Ph: (307) 739-8999	Mrs Kimberly Ann Mellick, MSN, FNP-BC 1415 S Hwy 89, Jackson, WY 83001-8515 Ph: (307) 739-8999

Reviews and Comments

Nurse Practitioner Nurses in Jackson, WY

Mrs. Lisa E Larson Hoyt, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 555 East Broadway, 220, Jackson, WY 83001 Phone: 307-733-7222 Fax: 307-733-9720
Laura-lee Berrett, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 555 E Broadway Ave Bldg B, Jackson, WY 83001 Phone: 307-739-7449
Mrs. Krista Jo Sgroi, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 555 East Broadway, Jackson, WY 83001 Phone: 307-733-3900 Fax: 307-732-0925
Dr. Hannah Meier, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 580 E Broadway Ave, Jackson, WY 83001 Phone: 802-355-1066
Mary Kathryn White, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 555 E Broadway St, Suite 202, Jackson, WY 83001 Phone: 307-733-6520 Fax: 307-733-3216
Caitlin Shea, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 320 E Broadway Ave Ste 1c, Jackson, WY 83001 Phone: 307-733-4585 Fax: 307-733-4787

Mrs Kimberly Ann Mellick, MSN, FNP-BC - Medicare Nurse Practitioner in Jackson, WY