MELISA STACEY WEBB (NP) – Family Nurse Practitioner, NPI 1043074537

MELISA STACEY WEBB (NP) is a healthcare provider. based in Idaho falls, Idaho. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 64774 (ID). The NPI Number for MELISA STACEY WEBB (NP) is 1043074537

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MELISA STACEY WEBB (NP)
NPI
1043074537
Phone
(208) 497-9768
Address
1830 VIOLA DR
Enumeration Date
6 February 2024
Last Update Date
8 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8882536598
Graduation Year
2023 (3 years ago)
PAC ID
8325585607
Group Practice PAC ID
7517248537
Professional Enrollment ID
I20240805001214
Address ID
ID836167473EA1675XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,802 NURSE PRACTITIONER in ID

Provider Addresses for MELISA STACEY WEBB (NP)

  • 1830 VIOLA DR

    IDAHO FALLS, ID 834016028

    Phone: (208) 497-9768

    Type: Mailing

  • 2725 CHANNING WAY

    IDAHO FALLS, ID 834047510

    Phone: (208) 535-8448

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $51.

Total Amount is formed as General ($51) + Research ($0) + Ownership ($0) = $51.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Mylan Specialty L.P. ($20).

Total Amount

$51

General + Research + Ownership

Payments

3

Total payment records

General Amount

$51

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-08-05

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240805001214INurse PractitionerIDTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83401)

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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: 7517248537View full group profile

Reviews

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Frequently asked questions

Can I verify MELISA STACEY WEBB (NP) with an NPI only?
You can start verification with NPI 1043074537 for MELISA STACEY WEBB (NP), then check state licensing separately.
Does CMS list MELISA STACEY WEBB (NP) as active?
Yes — MELISA STACEY WEBB (NP) is active in the NPI listing used on this page.
What is MELISA STACEY WEBB (NP)'s specialty?
The listing groups MELISA STACEY WEBB (NP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MELISA STACEY WEBB (NP) based?
MELISA STACEY WEBB (NP) is tied to Idaho Falls, Idaho in the data we show; additional addresses may exist on the full record.
Why does MELISA STACEY WEBB (NP) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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