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DR. MELISSA BOEREMA D.D.S
NPI 1457640641
Dentist - General Practice in Butler, MO

Active since March 29, 2011PECOS Enrolled
205 E DAKOTA ST, BUTLER, MO 64730(844) 853-8937 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 20, 2022, Jul 26, 2021, Apr 25, 2018 (3 updates tracked since 2018).

About Dr. Melissa Boerema D.d.s NPPES

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

DR. MELISSA BOEREMA D.D.S (NPI 1457640641) is an individual general practice provider in Butler, Missouri, licensed in Missouri (2010017989) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1457640641
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MELISSA BOEREMACredential: D.D.S
Location Address205 E DAKOTA STButler, MO 64730-2113
Mailing Address1800 CommunityClinton, MO 64735-8804 · (660) 885-8131
Phone(844) 853-8937
Sole ProprietorNo
Enumeration DateMarch 29, 2011
Last NPPES UpdateOctober 20, 20223 updates tracked since enumeration
NPPES CertifiedOctober 12, 2022
✔ NPI 1457640641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in MO · 2010017989✔ Licensed in KS · 61142
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
205 E DAKOTA ST, Butler, MO 64730
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Secondary Practice Locations 6

Location 11800 CommunityClinton, MO 64735-8804 · Phone (844) 853-8937
Location 2501 N Sunset LnRaymore, MO 64083-9402 · Phone (844) 853-8937
Location 3101 Hospital DrOsceola, MO 64776-9547 · Phone (844) 853-8937
Location 4107 Broadway StreetEl Dorado Springs, MO 64744-1133 · Phone (844) 853-8937
Location 5301 W Austin BlvdNevada, MO 64772-3124 · Phone (844) 853-8937
Location 62000 N Gaines DrClinton, MO 64735-1132 · Phone (448) 538-9378

Other Identifiers 1

Medicaid405546102MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Melissa Boerema D.d.s 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.

Medicare Billing Reassignment

Medicare enrollment records show Melissa Boerema reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Compass Health, Inc
32 mi
Community/Behavioral Health
1800 COMMUNITY
Clinton, MO 64735
  • Reassigned Medicare billing, Missouri enrollment
  • 968 clinicians in this Medicare group
NPI 1285619494 (660) 885-8131

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64730 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

JEREMY GUTOVITZ DDM
Dentist (General Practice)
205 E DAKOTA ST
BUTLER, MO 64730
Bates County (844) 853-8937
LYDIA MARIE HAAS RDH
Dental Hygienist
205 E DAKOTA ST
BUTLER, MO 64730
Bates County (844) 853-8937
ISAAC CURTIS DAINS DDS
Dentist (General Practice)
205 E DAKOTA ST
BUTLER, MO 64730
Bates County (844) 853-8937
COMPASS HEALTH, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
205 E DAKOTA ST
BUTLER, MO 64730
Bates County (888) 403-1071
DR. CASEY LARAE ZOOK DDS
Dentist
205 E DAKOTA ST
BUTLER, MO 64730
Bates County (844) 853-8937
BLAKE CAVENDER DDS
Dentist
205 E DAKOTA ST
BUTLER, MO 64730
Bates County (660) 679-4636

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 Boerema's NPI number?

The NPI number for Melissa Boerema is 1457640641. It was assigned to this individual provider in the NPPES registry on March 29, 2011.

Where is Melissa Boerema located?

Melissa Boerema practices at 205 E Dakota St, Butler, MO 64730. The listed phone number is (844) 853-8937.

What is Melissa Boerema's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Melissa Boerema enrolled in Medicare?

Yes. Melissa Boerema is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Melissa Boerema's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Boerema reassigns Medicare benefits to Compass Health, Inc (Clinton, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melissa Boerema's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Boerema accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 13 other insurers list Melissa Boerema as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Melissa Boerema was last updated on October 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.