Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MRS. MELISSA MARIE BLACK FNP-C
NPI 1659077238
Nurse Practitioner - Family in Rexburg, ID

Active since February 06, 2023PECOS Enrolled
450 E MAIN ST, REXBURG, ID 83440(208) 359-9811 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Melissa Marie Black Fnp-c NPPES

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

MRS. MELISSA MARIE BLACK FNP-C (NPI 1659077238) is an individual family provider in Rexburg, Idaho, licensed in Idaho (59333) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, is affiliated with Madison Memorial Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1659077238
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MELISSA MARIE BLACKCredential: FNP-C
Location Address450 E MAIN STRexburg, ID 83440-2048
Mailing Address330 Circle DrRigby, ID 83442-1375 · (916) 204-7056
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 6, 2023
Last NPPES UpdateJuly 28, 2026
NPPES CertifiedJuly 28, 2026
NPI 1659077238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in ID · 59333
Also ListedRegistered NurseTaxonomy 163W00000X · License 59333 (ID)
Also ListedFamily Medicine · Sleep MedicineTaxonomy 207QS1201X · License 59333 (ID)
450 E MAIN ST, Rexburg, ID 83440

Other Names 1

Former Name (1)Ms. Melissa Marie Poole

Accepted 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

Mrs. Melissa Marie Black Fnp-c 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 ID2961862735
PECOS Enrollment IDI20230712003238
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
53 services47 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
48 services48 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
37 services32 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
22 services22 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
20 services20 patients
Bacterial colony count, urine 87086
A bacterial colony count, urine, is a laboratory test that checks a urine sample for bacteria. It helps to identify if an infection is present in the urinary system. High numbers of bacteria in the urine can indicate a urinary tract infection (UTI).
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Madison Memorial Hospital

Acute Care Hospitals · Rexburg, ID
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number130025
Location450 East Main StreetRexburg, ID 83440 · Madison County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83440 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

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.

Occupational Therapist
450 E MAIN ST
REXBURG, ID 83440
Nurse Practitioner (Family)
450 E MAIN ST
REXBURG, ID 83440
Nurse Anesthetist, Certified Registered
450 E MAIN ST
REXBURG, ID 83440
Registered Nurse (Neonatal Intensive Care)
450 E MAIN ST
REXBURG, ID 83440
Physician Assistant (Medical)
450 E MAIN ST
REXBURG, ID 83440
Emergency Medicine (Emergency Medical Services)
450 E MAIN ST
REXBURG, ID 83440
Nurse Practitioner (Family)
450 E MAIN ST
REXBURG, ID 83440
Nurse Practitioner (Family)
450 E MAIN ST
REXBURG, ID 83440

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 Black's NPI number?

The NPI number for Melissa Black is 1659077238. It was assigned to this individual provider in the NPPES registry on February 6, 2023. The provider is also known as Ms. Melissa Marie Poole.

Where is Melissa Black located?

Melissa Black practices at 450 E Main St, Rexburg, ID 83440. The listed phone number is (208) 359-9811.

What is Melissa Black's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Melissa Black enrolled in Medicare?

Yes. Melissa Black 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 Melissa Black accept?

Health plans from Providence Health Plan and University of Utah Health Plans list Melissa Black 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 Melissa Black affiliated with any hospitals?

According to CMS data, Melissa Black is affiliated with Madison Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Melissa Black was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.