Melissa Renae McClintock, FNP-C
Nurse Practitioner, Family in Turtle Lake, ND. Individual provider (NPI-1).
NPI number1659902864
StatusActive
Last updated in NPPESAug 16, 2024
Details
- NPI
- 1659902864
- Entity type
- Individual (NPI-1)
- Name
- Melissa Renae McClintock
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 28, 2020
- Certification date
- Aug 15, 2024
- Last updated
- Aug 16, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | R44546 | ND | Yes |
Practice location
55 1st Ave ETurtle Lake, ND 54889
Phone 701-448-9225 · Fax 701-448-9224
Mailing address
55 1 St Ave ETurtle Lake, ND 54889
Phone 701-448-9225 · Fax 701-448-9224
Other practice locations
900 E Broadway Ave
Bismarck, ND 58501-4520
Bismarck, ND 58501-4520
Phone 701-530-7000
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