MELISSA CHURCHILL (NP) – Primary Care Nurse Practitioner, NPI 1396875704

MELISSA CHURCHILL (NP) is a healthcare provider. based in Cortez, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. NP990210 (CO). The NPI Number for MELISSA CHURCHILL (NP) is 1396875704

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA CHURCHILL (NP)
NPI
1396875704
Phone
Not provided
Address
1311A N MILDRED RD
Enumeration Date
6 March 2007
Last Update Date
26 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2011 (15 years ago)
PAC ID
2264699446
Group Practice PAC ID
2163454968
Professional Enrollment ID
I20200724000020
Address ID
CO813340049TO232XXDXXX600

Contacts

Secure Messaging
mchurchill@swhealth.direct-ci.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

5,201 NURSE PRACTITIONER in CO

Provider Addresses for MELISSA CHURCHILL (NP)

  • 1311A N MILDRED RD

    CORTEZ, CO 813212231

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-07-24

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200724000020INurse PractitionerTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes4930$0
99214Established patient office or other outpatient visit, 30-39 minutes3123$0
View full utilization report →

Insurance plans in this area (ZIP 81321)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163454968View full group profile
NameSpecialtyState
Nephrology, Internal Medicine, NephrologyCO
-CO
Clinical Social WorkerCO
O P T O M E T R YCO
Family PracticeCO
Family PracticeCO
-SC

Reviews

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Frequently asked questions

What number should I use to identify MELISSA CHURCHILL (NP) for billing?
Administrative and clinical systems typically use NPI 1396875704 for MELISSA CHURCHILL (NP).
Does the public listing show MELISSA CHURCHILL (NP) as active?
MELISSA CHURCHILL (NP)'s NPI record reflects an active status in NPPES.
What services align with MELISSA CHURCHILL (NP)'s listing?
MELISSA CHURCHILL (NP)'s public classification highlights Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to MELISSA CHURCHILL (NP)?
The directory associates MELISSA CHURCHILL (NP) with Cortez, Colorado. Check all listed addresses for suites or satellite offices.
Who maintains MELISSA CHURCHILL (NP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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