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HABTAMUA MELAKU DNP, MSN, FNP, ARNP
NPI 1558310755
Nurse Practitioner in Spokane, WA

Active since May 08, 2006PECOS Enrolled
546 N JEFFERSON LN, SPOKANE, WA 99201(509) 624-0111(509) 227-7070 Get Directions Write a Review

NPPES record last updated: June 18, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 18, 2021, Jan 31, 2019, May 22, 2017 (3 updates tracked since 2017).

About Habtamua Melaku Dnp, Msn, Fnp, Arnp NPPES

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

HABTAMUA MELAKU DNP, MSN, FNP, ARNP (NPI 1558310755) is an individual nurse practitioner in Spokane, Washington, licensed in Washington (AP30004850) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Spokane.

NPPES Registry Identity

NPI1558310755
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameHABTAMUA MELAKUCredential: DNP, MSN, FNP, ARNP
Location Address546 N JEFFERSON LNSpokane, WA 99201-7104
Mailing Address107 S Division StSpokane, WA 99202-1510 · (509) 838-4651
Phone(509) 624-0111
Fax(509) 227-7070
Sole ProprietorYes
Enumeration DateMay 8, 2006
Last NPPES UpdateJune 18, 20213 updates tracked since enumeration
NPPES CertifiedJune 18, 2021
✔ NPI 1558310755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in WA · AP30004850✔ Licensed in WA · RN00114991
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP30004850 (WA)
546 N JEFFERSON LN, Spokane, WA 99201
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Secondary Practice Location 1

Location 1107 S Division StSpokane, WA 99202-1510 · Phone (509) 838-4651

Other Identifiers 2

Medicaid9626581WA
Other147661WA · L & I

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Habtamua Melaku Dnp, Msn, Fnp, Arnp 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 Habtamua Melaku reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Frontier Behavioral Health
1.0 mi
Community/Behavioral Health
107 S DIVISION ST
Spokane, WA 99202
  • Reassigned Medicare billing, Washington enrollment
  • 136 clinicians in this Medicare group
NPI 1861495327 (509) 838-4651

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 99201 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier34 claims8,380 services$0.32 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$16.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

DR. KIMBERLY M CHUPURDIA PHD
Psychologist (Clinical)
546 N JEFFERSON LN, STE 200
SPOKANE, WA 99201
Spokane County (509) 688-6700
JOHN FORREST FLOYD MD
Internal Medicine
546 N JEFFERSON LN
SPOKANE, WA 99201
Spokane County (509) 624-0111
PETER GLANVILLE PA-C
Physician Assistant (Medical)
546 N JEFFERSON LN, STE 200
SPOKANE, WA 99201
Spokane County (509) 688-6700
MR. ROBERT D WIGERT MD
Internal Medicine
546 N JEFFERSON LN
SPOKANE, WA 99201
Spokane County (509) 624-0111
BERDINE S BENDER MD
Internal Medicine
546 N JEFFERSON LN
SPOKANE, WA 99201
Spokane County (509) 624-0111
ALYSON M GEISTER
Massage Therapist
546 N JEFFERSON LN
SPOKANE, WA 99201
Spokane County (509) 290-6406
CHELAN ROPERT
Family Medicine
546 N JEFFERSON LN
SPOKANE, WA 99201
Spokane County (509) 381-6505
PATRICK KUNKEL DO
Internal Medicine
546 N JEFFERSON LN
SPOKANE, WA 99201
Spokane County (509) 624-0111

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 Habtamua Melaku's NPI number?

The NPI number for Habtamua Melaku is 1558310755. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Where is Habtamua Melaku located?

Habtamua Melaku practices at 546 N Jefferson Ln, Spokane, WA 99201. The listed phone number is (509) 624-0111.

What is Habtamua Melaku's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Habtamua Melaku enrolled in Medicare?

Yes. Habtamua Melaku is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Habtamua Melaku's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Habtamua Melaku reassigns Medicare benefits to Frontier Behavioral Health (Spokane, WA). 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 Habtamua Melaku's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Habtamua Melaku was last updated on June 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.