MYLLISSA M. WYATT NP
NPI 1730439266
Nurse Practitioner - Family in Salmon, ID

Q: What is Myllissa Wyatt's NPI number?

The NPI number for Myllissa Wyatt is 1730439266. It was assigned to this individual provider in the NPPES registry on September 12, 2012. The provider is also known as Myllissa M. Pena-Wyatt Np.

Q: What is Myllissa Wyatt's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Myllissa Wyatt was last updated on January 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 12, 2012PECOS EnrolledAccepts Medicare Assignment

41.07/100

CMS Quality Rating

403 RIVERFRONT DR, SALMON, ID 83467(208) 742-1110(208) 742-1120 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 1, 2022, May 19, 2021 (2 updates tracked since 2021).

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About Myllissa M. Wyatt Np NPPES

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

MYLLISSA M. WYATT NP (NPI 1730439266) is an individual family provider in Salmon, Idaho, licensed in Idaho (NP-1202A) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, is affiliated with Steele Memorial Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1730439266

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMYLLISSA M. WYATTCredential: NP

Location Address403 RIVERFRONT DRSalmon, ID 83467-5162

Mailing Address403 Riverfront DrSalmon, ID 83467-5162 · (208) 742-1110 · Fax (208) 742-1120

Phone(208) 742-1110

Fax(208) 742-1120

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateSeptember 12, 2012

Last NPPES UpdateJanuary 22, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 22, 2025

✔ NPI 1730439266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in ID · NP-1202A

Also ListedNurse PractitionerTaxonomy 363L00000X · License 1202A (ID)

403 RIVERFRONT DR, Salmon, ID 83467

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Other Names 1

Professional Name (2)Myllissa M. Pena-wyatt Np

Other Identifiers 1

MedicaidIDTPID011077ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.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

Myllissa M. Wyatt 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.

PECOS PAC ID8729230503

PECOS Enrollment IDI20121129000501

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 14

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

263 services129 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

92 services47 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.

70 services59 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.

58 services51 patients

Blood test, thyroid stimulating hormone (tsh) 84443

A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.

58 services53 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.

57 services53 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

55 services50 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

52 services48 patients

Vitamin d-3 level 82306

A Vitamin D-3 level test measures the amount of Vitamin D-3, a crucial nutrient, in your body. This test helps identify if your levels are too low or too high. Low levels may lead to bone weakness, while high levels could harm your kidneys. It's a simple blood test.

51 services47 patients

Cyanocobalamin (vitamin b-12) level 82607

A Cyanocobalamin (Vitamin B-12) level test is a blood test that checks the amount of Vitamin B-12 in your body. This vitamin is vital for nerve function and the creation of red blood cells. Low or high levels could indicate a potential health issue.

50 services45 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.

25 services25 patients

Thyroxine (thyroid chemical), free 84439

The Thyroxine (thyroid chemical), free test is a blood test that measures the level of free T4 in your body. T4 is a hormone produced by your thyroid gland and is essential for growth and metabolism. If your T4 levels are too high or too low, it could indicate a thyroid disorder.

22 services20 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

20 services15 patients

Thyroid hormone, t3 measurement, total 84480

The T3 Total Test measures the amount of thyroid hormone T3 in your blood. This hormone, produced by the thyroid gland, is crucial for body's metabolism and energy production. Abnormal levels may indicate a thyroid disorder.

15 services14 patients

Hospital Affiliations CMS Care Compare

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

Steele Memorial Medical Center

Critical Access Hospitals · Salmon, ID

OwnershipGovernment - Local

CMS Certification Number131305

LocationP O Box 700Salmon, ID 83467 · Lemhi County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83467 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.

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.

41.07/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

6.49

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

20%149 patients1/55-star benchmark: 92%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

6%252 patients1/55-star benchmark: 85%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 12

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

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

3 suppliers13 claims13 services$104.72 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

3 suppliers13 claims31 services$44.16 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers14 claims62 services$3.22 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

3 suppliers74 claims75 services$19.79 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

3 suppliers28 claims28 services$53.49 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers119 claims120 services$109.77 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

JENNIFER ANN HILL RDN, LD

Dietitian, Registered

403 RIVERFRONT DR
SALMON, ID 83467

Lemhi County (740) 816-1555

SALMON RIVER CLINIC

Clinic/Center (Primary Care)

403 RIVERFRONT DR
SALMON, ID 83467

Lemhi County (208) 742-1110

JOHN DUSTIN PENA FNP

Nurse Practitioner (Family)

403 RIVERFRONT DR
SALMON, ID 83467

Lemhi County (208) 742-1110

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 Myllissa Wyatt's NPI number?

The NPI number for Myllissa Wyatt is 1730439266. It was assigned to this individual provider in the NPPES registry on September 12, 2012. The provider is also known as Myllissa M. Pena-Wyatt Np.

Where is Myllissa Wyatt located?

Myllissa Wyatt practices at 403 Riverfront Dr, Salmon, ID 83467. The listed phone number is (208) 742-1110.

What is Myllissa Wyatt's specialty?

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

Is Myllissa Wyatt enrolled in Medicare?

Yes. Myllissa Wyatt 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 Myllissa Wyatt accept?

Health plans from PacificSource Health Plans list Myllissa Wyatt 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 Myllissa Wyatt affiliated with any hospitals?

According to CMS data, Myllissa Wyatt is affiliated with Steele Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Myllissa Wyatt was last updated on January 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.