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DR. MELINDA RAE SLACK M.D
NPI 1063436616
Pediatrics - Neonatal-Perinatal Medicine in Springfield, MO

Active since July 27, 2006PECOS Enrolled
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804(417) 820-3219 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Melinda Rae Slack M.d NPPES

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

DR. MELINDA RAE SLACK M.D (NPI 1063436616) is an individual neonatal-perinatal medicine provider in Springfield, Missouri, licensed in Missouri (MDR9C17) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063436616
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDR. MELINDA RAE SLACKCredential: M.D
Location Address1235 E CHEROKEE STSpringfield, MO 65804-2203
Mailing Address5822 E Spring DrSpringfield, MO 65809-3374 · (417) 820-3219
Phone(417) 820-3219
Sole ProprietorNo
Enumeration DateJuly 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1063436616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in MO · MDR9C17
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
1235 E CHEROKEE ST, Springfield, MO 65804
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Melinda Rae Slack M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

MR. SUJAN POUDEL M.D.
Internal Medicine
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Greene County (417) 820-2600
JANEL M OCHSE MD
Emergency Medicine
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Greene County (417) 820-2000
DR. DAWN E ZABLOCKI MD
Anesthesiology
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Greene County (417) 820-2829
OLIVIA M. KILBURN CRNA
Nurse Anesthetist, Certified Registered
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Greene County (417) 820-2829
VIRGINIA MCLAUGHLIN SLP
Speech-Language Pathologist
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Greene County (417) 576-3741
MARGARET BROWN MONTGOMERY APRN
Nurse Practitioner (Gerontology)
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Greene County (417) 820-6569
DEVIN B MOORE PA-C
Physician Assistant
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Greene County (417) 820-5400
JACQUELYN B MARSHALL CRNA
Nurse Anesthetist, Certified Registered
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Greene County (417) 820-2829

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 Melinda Slack's NPI number?

The NPI number for Melinda Slack is 1063436616. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Melinda Slack located?

Melinda Slack practices at 1235 E Cherokee St, Springfield, MO 65804. The listed phone number is (417) 820-3219.

What is Melinda Slack's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Melinda Slack enrolled in Medicare?

Yes. Melinda Slack is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Melinda Slack was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.