MELISSA VAN FOSSEN (NP) – Family Nurse Practitioner, NPI 1235837865
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
761 NURSE PRACTITIONER in AK
Provider Addresses for MELISSA VAN FOSSEN (NP)
10715 BRIGGS CACHE CIR
EAGLE RIVER, AK 995778194
Phone: (406) 531-6815
Type: Mailing
510 W TUDOR RD STE 1
ANCHORAGE, AK 995036649
Phone: (907) 744-1944
Fax: (907) 921-7669
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $1,398.
Total Amount is formed as General ($1,398) + Research ($0) + Ownership ($0) = $1,398.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($268).
Total Amount
$1,398
General + Research + Ownership
Payments
22
Total payment records
General Amount
$1,398
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $268 |
| Novo Nordisk Inc | $231 |
| SANOFI-AVENTIS U.S. LLC | $122 |
| Eisai Inc. | $120 |
| ADMA BioManufacturing LLC | $117 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-05-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230505002290 | I | Nurse Practitioner | AK | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99577)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AK | |
| A L L E R G Y/ I M M U N O L O G Y | AK |
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