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SOPHIE JOY MELLEMA
NPI 1649087230
Physician Assistant in Grand Island, NE

Active since December 17, 2024PECOS EnrolledAccepts Medicare Assignment
620 N DIERS AVE STE 200, GRAND ISLAND, NE 68803(308) 384-5400 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sophie Joy Mellema NPPES

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

SOPHIE JOY MELLEMA (NPI 1649087230) is an individual physician assistant in Grand Island, Nebraska and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS, is affiliated with Chi Health St. Francis, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1649087230
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSOPHIE JOY MELLEMA
Location Address620 N DIERS AVE STE 200Grand Island, NE 68803-4985
Mailing Address620 N Diers Ave Ste 200Grand Island, NE 68803-4985
Phone(308) 384-5400
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 17, 2024
NPPES CertifiedDecember 17, 2024
✔ NPI 1649087230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
620 N DIERS AVE STE 200, Grand Island, NE 68803
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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 from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sophie Joy Mellema is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103346705
PECOS Enrollment IDI20250226002500
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.

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chi Health St. Francis

Acute Care Hospitals · Grand Island, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number280023
Location2620 West Faidley AveGrand Island, NE 68803 · Hall County
Emergency services Birthing friendly

Mary Lanning Healthcare

Acute Care Hospitals · Hastings, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number280032
Location715 N St Joseph AveHastings, NE 68901 · Adams County
Emergency services Birthing friendly

Grand Island Regional Medical Center

Acute Care Hospitals · Grand Island, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280139
Location3533 Prairieview StreetGrand Island, NE 68803 · Hall County
Emergency services Birthing friendly

Gothenburg Health

Critical Access Hospitals · Gothenburg, NE
OwnershipGovernment - Hospital District or Authority
CMS Certification Number281313
LocationPO Box 469 910 20th StGothenburg, NE 69138 · Dawson County
Emergency services

Cozad Community Hospital

Critical Access Hospitals · Cozad, NE
OwnershipGovernment - Hospital District or Authority
CMS Certification Number281327
LocationP O Box 108, 300 East 12th StCozad, NE 69130 · Dawson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68803 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
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 3

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

JASON R HADENFELDT P.A.
Physician Assistant (Surgical)
620 N DIERS AVE STE 200
GRAND ISLAND, NE 68803
Hall County (308) 384-5400
SHELBY KYAN BEARHEELS PA-C
Physician Assistant
620 N DIERS AVE STE 200
GRAND ISLAND, NE 68803
Hall County (308) 384-5400
DR. TYLER CHRISTIAN WHITE M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
620 N DIERS AVE STE 200
GRAND ISLAND, NE 68803
Hall County (308) 384-5400

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 Sophie Mellema's NPI number?

The NPI number for Sophie Mellema is 1649087230. It was assigned to this individual provider in the NPPES registry on December 17, 2024.

Where is Sophie Mellema located?

Sophie Mellema practices at 620 N Diers Ave Ste 200, Grand Island, NE 68803. The listed phone number is (308) 384-5400.

What is Sophie Mellema's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sophie Mellema enrolled in Medicare?

Yes. Sophie Mellema is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sophie Mellema accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 2 other insurers list Sophie Mellema 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.

Is Sophie Mellema affiliated with any hospitals?

According to CMS data, Sophie Mellema is affiliated with Chi Health St. Francis, Mary Lanning Healthcare, Grand Island Regional Medical Center, Gothenburg Health and Cozad Community Hospital.

When was this NPI record last updated?

The NPPES record for Sophie Mellema was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.