MELISSA ANN DEBOER ND, RN
NPI 1063396331
Registered Nurse - Community Health in Grand Rapids, MI

Active since July 31, 2025
1324 LAKE DR SE STE 4, GRAND RAPIDS, MI 49506(616) 293-3000 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Melissa Ann Deboer Nd, Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA ANN DEBOER ND, RN (NPI 1063396331) is an individual community health provider in Grand Rapids, Michigan, licensed in Michigan (4704294771) and active in the NPI registry since July 2025. She maintains a secondary practice location in Rockford.

NPPES Registry Identity

NPI1063396331
Entity TypeIndividualFemale
Primary Taxonomy163WC1500X
Provider Legal NameMELISSA ANN DEBOERCredential: ND, RN
Location Address1324 LAKE DR SE STE 4Grand Rapids, MI 49506-1673
Mailing Address8201 Tartan Way NeRockford, MI 49341-9563 · (616) 293-3000
Sole ProprietorYes
Enumeration DateJuly 31, 2025
NPPES CertifiedJuly 31, 2025
NPI 1063396331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Community HealthNursing Service Providers
Taxonomy Code163WC1500X
License Licensed in MI · 4704294771
1324 LAKE DR SE STE 4, Grand Rapids, MI 49506

Secondary Practice Location 1

Location 18201 Tartan Way NERockford, MI 49341-9563 · Phone (616) 293-3000

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1324 LAKE DR SE STE 4
GRAND RAPIDS, MI 49506
Social Worker (Clinical)
1324 LAKE DR SE STE 4
GRAND RAPIDS, MI 49506
Social Worker (Clinical)
1324 LAKE DR SE STE 4
GRAND RAPIDS, MI 49506
Counselor (Mental Health)
1324 LAKE DR SE STE 4
GRAND RAPIDS, MI 49506

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Deboer's NPI number?

The NPI number for Melissa Deboer is 1063396331. It was assigned to this individual provider in the NPPES registry on July 31, 2025.

Where is Melissa Deboer located?

Melissa Deboer practices at 1324 Lake Dr SE Ste 4, Grand Rapids, MI 49506. The listed phone number is (616) 293-3000.

What is Melissa Deboer's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Community Health, with taxonomy code 163WC1500X.

When was this NPI record last updated?

The NPPES record for Melissa Deboer was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.