CHRISTY LEAH MELZARK (NP) – Family Nurse Practitioner, NPI 1104540012

CHRISTY LEAH MELZARK (NP) is a healthcare provider. based in Moose lake, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 9580 (MN). The NPI Number for CHRISTY LEAH MELZARK (NP) is 1104540012

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTY LEAH MELZARK (NP)
NPI
1104540012
Phone
(218) 485-4491
Address
4570 Cty. Hwy. 61
Enumeration Date
4 October 2022
Last Update Date
14 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3202798600
Graduation Year
2022 (4 years ago)
PAC ID
2062880024
Group Practice PAC ID
3870406945
Professional Enrollment ID
I20221122002381
Address ID
MN550376419HI45XXXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for CHRISTY LEAH MELZARK (NP)

  • 4570 Cty. Hwy. 61

    Moose Lake, MN 557679401

    Phone: (218) 485-4491

    Fax: (218) 485-4724

    Type: Location

  • 45 Lady Luck Dr

    Hinckley, MN 550370309

    Phone: (320) 384-6618

    Fax: (320) 384-6635

    Type: Location

  • 707 LUNDORFF DR UNIT 1

    SANDSTONE, MN 550725099

    Phone: (320) 245-2250

    Type: Location

  • PO BOX 62

    ASKOV, MN 557040062

    Phone: (320) 279-7287

    Type: Mailing

  • 707 LUNDORFF DR STE 1

    SANDSTONE, MN 550725099

    Phone: (320) 245-2250

    Fax: (320) 245-2555

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $184.

Total Amount is formed as General ($184) + Research ($0) + Ownership ($0) = $184.

Last reported payment date: 2024-11-01 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($48).

Total Amount

$184

General + Research + Ownership

Payments

11

Total payment records

General Amount

$184

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-01

Latest reported date

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: 2022-11-22

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
I20221122002381INurse PractitionerMNTBD

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
36415Insertion of needle into vein for collection of blood sample2524$0
85027Complete blood cell count (red cells, white blood cell, platelets), automated test1616$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)1514$0
80053Blood test, comprehensive group of blood chemicals1414$0
View full utilization report →

Insurance plans in this area (ZIP 55767)

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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: 3870406945View full group profile
NameSpecialtyState
Family PracticeMN
Family PracticeMN
Nurse PractitionerMN
P O D I A T R YMN
Nurse PractitionerMN
Physician AssistantMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

Does CHRISTY LEAH MELZARK (NP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — CHRISTY LEAH MELZARK (NP) uses 1104540012.
Does CMS list CHRISTY LEAH MELZARK (NP) as active?
Yes — CHRISTY LEAH MELZARK (NP) is active in the NPI listing used on this page.
What is CHRISTY LEAH MELZARK (NP) best known for clinically?
Directory data describes CHRISTY LEAH MELZARK (NP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does CHRISTY LEAH MELZARK (NP) list a practice location?
Patients near Moose Lake, Minnesota may find CHRISTY LEAH MELZARK (NP) in results; validate coverage separately.
Why does CHRISTY LEAH MELZARK (NP) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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