MS. MELISSA SUE BOGLE (FNP) – Family Nurse Practitioner, NPI 1760527691

MS. MELISSA SUE BOGLE (FNP) is a healthcare provider. based in Bethalto, Illinois. specializing in Family Nurse Practitioner. They hold the professional credentials FNP. They hold a License No. 209007114 (IL). The NPI Number for MS. MELISSA SUE BOGLE (FNP) is 1760527691

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MS. MELISSA SUE BOGLE (FNP)
NPI
1760527691
Phone
(618) 433-6640
Address
163 E Bethalto Dr
Enumeration Date
20 February 2007
Last Update Date
30 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8663892727
Graduation Year
2014 (12 years ago)
PAC ID
8527159391
Group Practice PAC ID
7416043807
Professional Enrollment ID
I20200430000593

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

Provider Addresses for MS. MELISSA SUE BOGLE (FNP)

  • 163 E Bethalto Dr

    Bethalto, IL 620101801

    Phone: (618) 433-6640

    Type: Location

  • 7334 S LINDBERGH BLVD

    SAINT LOUIS, MO 631254522

    Phone: (866) 389-2727

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $1,167.

Total Amount is formed as General ($1,167) + Research ($0) + Ownership ($0) = $1,167.

Last reported payment date: 2024-06-19 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($236).

Total Amount

$1,167

General + Research + Ownership

Payments

13

Total payment records

General Amount

$1,167

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-19

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: 2021-06-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20200430000593INurse PractitionerMOTBD
I20210616002490INurse PractitionerILTBD

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 62010)

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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: 7416043807View full group profile
NameSpecialtyState
-MO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerFL
-MO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
-MO

Reviews

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Frequently asked questions

How is MS. MELISSA SUE BOGLE (FNP) identified in CMS data?
CMS-hosted NPPES data lists MS. MELISSA SUE BOGLE (FNP) with NPI 1760527691.
Is MS. MELISSA SUE BOGLE (FNP) still practicing?
MS. MELISSA SUE BOGLE (FNP) is currently listed as active in the public NPI registry.
What taxonomy line describes MS. MELISSA SUE BOGLE (FNP)?
For research purposes, treat MS. MELISSA SUE BOGLE (FNP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MS. MELISSA SUE BOGLE (FNP) on a map?
Expect Bethalto, Illinois as a primary anchor for MS. MELISSA SUE BOGLE (FNP) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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