MISS MELISSA SUE MASONBRINK (FNP) – Nurse Practitioner, NPI 1245566314

MISS MELISSA SUE MASONBRINK (FNP) is a healthcare provider. based in Fairfax, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 2005038114 (MO). The NPI Number for MISS MELISSA SUE MASONBRINK (FNP) is 1245566314

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MISS MELISSA SUE MASONBRINK (FNP)
NPI
1245566314
Phone
(660) 686-2211
Address
26136 US HIGHWAY 59
Enumeration Date
26 October 2009
Last Update Date
7 September 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6604423181
Graduation Year
2009 (17 years ago)
PAC ID
8628107455
Group Practice PAC ID
1557316783
Professional Enrollment ID
I20100603000437
Address ID
MO644701145MO514XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

7,023 NURSE PRACTITIONER in MO

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Provider Addresses for MISS MELISSA SUE MASONBRINK (FNP)

  • 59, Fairfax Drive, Suffolk County, New York, 11727, United States

    FAIRFAX, MO 644468155

    Phone: (660) 686-2211

    Fax: (660) 686-2618

    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 11 Open Payments records for all available years, with a total value of $190.

Total Amount is formed as General ($190) + Research ($0) + Ownership ($0) = $190.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Amgen Inc. ($80).

Total Amount

$190

General + Research + Ownership

Payments

11

Total payment records

General Amount

$190

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

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: 2010-06-03

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
I20100603000437INurse PractitionerMOTBD

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 64446)

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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: 1557316783View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
U R O L O G YMO
Family PracticeMO
Family PracticeMO

Reviews

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Frequently asked questions

How do payers reference MISS MELISSA SUE MASONBRINK (FNP)?
For MISS MELISSA SUE MASONBRINK (FNP), use NPI 1245566314 as the unique 10-digit identifier.
Would MISS MELISSA SUE MASONBRINK (FNP) appear as active to a payer?
You can treat MISS MELISSA SUE MASONBRINK (FNP) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MISS MELISSA SUE MASONBRINK (FNP)?
At a glance, MISS MELISSA SUE MASONBRINK (FNP) is tied to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MISS MELISSA SUE MASONBRINK (FNP) located near Fairfax?
MISS MELISSA SUE MASONBRINK (FNP) currently maps to Fairfax, Missouri in this extract.
Can I trust this NPI listing for MISS MELISSA SUE MASONBRINK (FNP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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