| Melissa Marie Outman, FNP | |
|
3322 E Beltline Ct Ne, Grand Rapids, MI 49525-9480 | |
| (616) 226-2669 | |
| Not Available |
| Full Name | Melissa Marie Outman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 3322 E Beltline Ct Ne, Grand Rapids, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326519950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704284313 (Michigan) | Primary |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20181004002127 |
| Entity Name | Samaritan Health Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598234056 PECOS PAC ID: 1254677719 Enrollment ID: O20190104001298 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Marie Outman, FNP 14215 28th St, Lowell, MI 49331-8658 Ph: (301) 356-4713 | Melissa Marie Outman, FNP 3322 E Beltline Ct Ne, Grand Rapids, MI 49525-9480 Ph: (616) 226-2669 |
Paul Dieleman, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1131 Ionia Ave Nw, Grand Rapids, MI 49503 Phone: 616-259-7900 Fax: 616-259-7909 | |
Dr. Katherine Pruss, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3201 Burton St Se, Sb 260, Grand Rapids, MI 49546 Phone: 616-526-6808 | |
Vanessa Rae Smitko, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546 Phone: 616-267-8860 | |
Khira Lauren Benson, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503 Phone: 616-267-9150 | |
Cassandra Cummings, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503 Phone: 616-486-6790 | |
Anne Therese Beauchamp, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1055 Medical Park Dr Se, Grand Rapids, MI 49546 Phone: 616-942-9610 | |
Mary Barr, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546 Phone: 616-391-3759 |