MELISSA MARTINEZ HUCKLEBY – Nurse Practitioner, NPI 1083266324

MELISSA MARTINEZ HUCKLEBY is a healthcare provider. based in Wichita, Kansas. specializing in NURSE PRACTITIONER. They hold a License No. 53-78661 (KS). The NPI Number for MELISSA MARTINEZ HUCKLEBY is 1083266324

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA MARTINEZ HUCKLEBY
NPI
1083266324
Phone
(316) 858-9000
Address
9300 E 29TH ST N STE 310
Enumeration Date
16 July 2019
Last Update Date
16 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3162830027
Graduation Year
2018 (8 years ago)
PAC ID
5395073100
Group Practice PAC ID
5294646477
Professional Enrollment ID
I20190817000305
Address ID
KS671147808NE800XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

3,550 NURSE PRACTITIONER in KS

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Provider Addresses for MELISSA MARTINEZ HUCKLEBY

  • 310, East 29th Street North, Wichita, Sedgwick County, Kansas, 67219, United States

    WICHITA, KS 672262160

    Phone: (316) 858-9000

    Fax: (316) 858-9005

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-05-11 • Largest payer in this snapshot: Amgen Inc. ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Amgen Inc.$16
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: 2019-08-17

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
I20190817000305INurse PractitionerKSTBD

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 67226)

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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: 5294646477View full group profile
NameSpecialtyState
Emergency MedicineOH
Nurse PractitionerKS
Family PracticeKS
-KS
Nurse PractitionerKS
Hospitalist, Family PracticeKS
General Surgery, Undersea And Hyperbaric MedicineKS
Hospitalist, Internal MedicineKS
Physician AssistantNY
Emergency Medicine, Family PracticeKS

Reviews

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Frequently asked questions

Does MELISSA MARTINEZ HUCKLEBY share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MELISSA MARTINEZ HUCKLEBY uses 1083266324.
Can I rely on MELISSA MARTINEZ HUCKLEBY being an active provider?
As of the registry snapshot, MELISSA MARTINEZ HUCKLEBY is marked active.
What taxonomy line describes MELISSA MARTINEZ HUCKLEBY?
For research purposes, treat MELISSA MARTINEZ HUCKLEBY as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is MELISSA MARTINEZ HUCKLEBY based?
MELISSA MARTINEZ HUCKLEBY is tied to Wichita, Kansas in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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