MELISSA RAE GERALD DO
NPI 1609496561
Student in an Organized Health Care Education/Training Program in Tulsa, OK

Q: What is Melissa Gerald's NPI number?

The NPI number for Melissa Gerald is 1609496561. It was assigned to this individual provider in the NPPES registry on April 21, 2020.

Q: What is Melissa Gerald's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Gerald was last updated on August 9, 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.

Active since April 21, 2020PECOS Enrolled

1111 S SAINT LOUIS AVE, TULSA, OK 74120(918) 619-4600(918) 619-4696 Get Directions Write a Review

NPPES record last updated: August 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 9, 2021, Apr 21, 2020 (2 updates tracked since 2020).

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About Melissa Rae Gerald Do NPPES

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

MELISSA RAE GERALD DO (NPI 1609496561) is an individual student in an organized health care education/training program in Tulsa, Oklahoma, licensed in Oklahoma (7402) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609496561

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMELISSA RAE GERALDCredential: DO

Location Address1111 S SAINT LOUIS AVETulsa, OK 74120-5440

Mailing Address1111 S Saint Louis AveTulsa, OK 74120-5440 · (918) 619-4600 · Fax (918) 619-4696

Phone(918) 619-4600

Fax(918) 619-4696

Sole ProprietorNo

Enumeration DateApril 21, 2020

Last NPPES UpdateAugust 9, 20212 updates tracked since enumeration

NPPES CertifiedAugust 9, 2021

✔ NPI 1609496561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in OK · 7402

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1111 S SAINT LOUIS AVE, Tulsa, OK 74120

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Rae Gerald Do 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.

JESSICA LEE LUETKEMEYER PA-C

Physician Assistant