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MELISSA DETTMAN
NPI 1740130624
Registered Nurse in Madison, WI

Active since January 30, 2026
4904 EASTPARK BLVD, MADISON, WI 53718(608) 240-3000 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Melissa Dettman NPPES

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

MELISSA DETTMAN (NPI 1740130624) is an individual registered nurse in Madison, Wisconsin, licensed in Wisconsin (235685-30) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1740130624
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameMELISSA DETTMAN
Location Address4904 EASTPARK BLVDMadison, WI 53718-2007
Mailing AddressW6572 Navan RdWatertown, WI 53094-9111 · (608) 240-3000
Phone(608) 240-3000
Sole ProprietorNo
Enumeration DateJanuary 30, 2026
NPPES CertifiedJanuary 30, 2026
✔ NPI 1740130624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in WI · 235685-30
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
4904 EASTPARK BLVD, Madison, WI 53718
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Other Providers at the Same Location NPPES 5

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

LISA MCGLYNN RN
Registered Nurse
4904 EASTPARK BLVD
MADISON, WI 53718
Dane County (608) 240-3000
THOMAS E LAUENGCO
Registered Nurse
4904 EASTPARK BLVD
MADISON, WI 53718
Dane County (608) 240-3000
MADISON VAMC
Clinic/Center (VA)
4904 EASTPARK BLVD
MADISON, WI 53718
Dane County (608) 821-7200
SHAUNA PARKHURST BSN RN
Registered Nurse (Women's Health Care, Ambulatory)
4904 EASTPARK BLVD
MADISON, WI 53718
Dane County (608) 256-1901
LAKEATIA PHILLIPS
Registered Nurse
4904 EASTPARK BLVD
MADISON, WI 53718
Dane County (608) 240-3000

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 Dettman's NPI number?

The NPI number for Melissa Dettman is 1740130624. It was assigned to this individual provider in the NPPES registry on January 30, 2026.

Where is Melissa Dettman located?

Melissa Dettman practices at 4904 Eastpark Blvd, Madison, WI 53718. The listed phone number is (608) 240-3000.

What is Melissa Dettman's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Melissa Dettman was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.