MELISSA ANN HALLUM APRN-CNP
NPI 1760924153
Nurse Practitioner - Family in Tishomingo, OK

Q: What is Melissa Hallum's NPI number?

The NPI number for Melissa Hallum is 1760924153. It was assigned to this individual provider in the NPPES registry on November 16, 2016.

Q: What is Melissa Hallum'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 Melissa Hallum was last updated on February 26, 2025. 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.

Active since November 16, 2016PECOS EnrolledAccepts Medicare Assignment

610 E 24TH ST, TISHOMINGO, OK 73460(580) 371-2343(580) 371-3614 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 26, 2025, Apr 2, 2024, Oct 17, 2023 and 5 more (8 updates tracked since 2016).

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About Melissa Ann Hallum Aprn-cnp NPPES

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

MELISSA ANN HALLUM APRN-CNP (NPI 1760924153) is an individual family provider in Tishomingo, Oklahoma, licensed in Oklahoma (R0092696) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Ardmore, Inc, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1760924153

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMELISSA ANN HALLUMCredential: APRN-CNP

Location Address610 E 24TH STTishomingo, OK 73460-3245

Mailing Address610 E 24th StTishomingo, OK 73460-3245 · (580) 371-2343 · Fax (580) 371-3614

Phone(580) 371-2343

Fax(580) 371-3614

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateNovember 16, 2016

Last NPPES UpdateFebruary 26, 20258 updates tracked since enumeration

NPPES CertifiedFebruary 26, 2025

✔ NPI 1760924153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

Licenses✔ Licensed in OK · R0092696✔ Licensed in TX · 1068494

610 E 24TH ST, Tishomingo, OK 73460

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Other Identifiers 1

Medicaid200682930AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.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 Ann Hallum Aprn-cnp 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 ID5193006005

PECOS Enrollment IDI20170109002633

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.

Medicare Billing Reassignments

Medicare enrollment records show Melissa Hallum reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Minuteclinic Diagnostic Of Oklahoma LLC

107 mi

Family

1520 S BRYANT AVE
Edmond, OK 73013

Reassigned Medicare billing, Oklahoma enrollment
31 clinicians in this Medicare group

NPI 1285765727 (866) 389-2727

Mercy Clinic Oklahoma Communities

109 mi

Family Medicine

4300 W MEMORIAL RD
Oklahoma City, OK 73120

Reassigned Medicare billing, Oklahoma enrollment
975 clinicians in this Medicare group

NPI 1386874550 (405) 752-3333

Minuteclinic Telehealth Services Of Texas Association

263 mi

Family

1855 GATTIS SCHOOL RD
Round Rock, TX 78664

Reassigned Medicare billing, Texas enrollment
362 clinicians in this Medicare group

NPI 1922564301 (866) 389-2727

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 8

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.

251 services198 patients

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.

138 services122 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.

70 services70 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

44 services44 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

40 services40 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

33 services31 patients

Hospital Affiliations CMS Care Compare

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

Mercy Hospital Ardmore, Inc

Acute Care Hospitals · Ardmore, OK

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number370047

Location1011 14th Ave NWArdmore, OK 73401 · Carter County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73460 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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.

DARCI LYNN BOWEN APRN-CNP

Nurse Practitioner (Family)