MELISSA BURKHART NP
NPI 1689319394
Nurse Practitioner - Family in Wausau, WI
About Melissa Burkhart Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELISSA BURKHART NP (NPI 1689319394) is an individual family provider in Wausau, Wisconsin, licensed in Wisconsin (11572) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center, and maintains a secondary practice location in Wausau.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Melissa Burkhart Np 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.
Medicare Billing Reassignments
4Medicare enrollment records show Melissa Burkhart reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wausau, WI 54401
- Reassigned Medicare billing, Wisconsin enrollment
- 2,476 clinicians in this Medicare group
Marshfield, WI 54449
- Reassigned Medicare billing, Wisconsin enrollment
- 2,540 clinicians in this Medicare group
Waukesha, WI 53186
- Reassigned Medicare billing, Wisconsin enrollment
- 191 clinicians in this Medicare group
Waukesha, WI 53188
- Reassigned Medicare billing, Wisconsin enrollment
- 141 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Marshfield Medical Center
Acute Care Hospitals · Marshfield, WIMarshfield Medical Center - Weston
Acute Care Hospitals · Weston, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
WAUSAU, WI 54401
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 Burkhart's NPI number?
The NPI number for Melissa Burkhart is 1689319394. It was assigned to this individual provider in the NPPES registry on April 28, 2022.
Where is Melissa Burkhart located?
Melissa Burkhart practices at 2727 Plaza Dr, Wausau, WI 54401. The listed phone number is (715) 847-3000.
What is Melissa Burkhart's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Melissa Burkhart enrolled in Medicare?
Yes. Melissa Burkhart 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.
Which organizations bill Medicare for Melissa Burkhart's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Burkhart reassigns Medicare benefits to 4 organizations: Mchs Hospitals Inc (Wausau, WI), Marshfield Clinic Inc (Marshfield, WI), Oak Medical Sc (Waukesha, WI) and Maple Medical Sc (Waukesha, WI). Each 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 Burkhart's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Melissa Burkhart accept?
Health plans from Anthem Blue Cross and Blue Shield, HealthPartners and Security Health Plan list Melissa Burkhart 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 Burkhart affiliated with any hospitals?
According to CMS data, Melissa Burkhart is affiliated with Marshfield Medical Center and Marshfield Medical Center - Weston.
When was this NPI record last updated?
The NPPES record for Melissa Burkhart was last updated on November 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Melissa Burkhart, NP · NPI 1689319394
Family physician in Wausau, Wisconsin. Individual provider, active in the CMS NPPES registry since April 28, 2022.
## Identity
- **NPI:** 1689319394 (Entity type: Individual)
- **Enumerated:** April 28, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 11572 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2727 PLAZA DR, Wausau, WI 54401-4192
- **Phone:** (715) 847-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Mchs Hospitals Inc (NPI 1164159109, Wausau, WI); Marshfield Clinic Inc (NPI 1952347981, Marshfield, WI); Oak Medical Sc (NPI 1669910345, Waukesha, WI); Maple Medical Sc (NPI 1487152104, Waukesha, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** November 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1689319394) · Data from the CMS NPPES public registry.