MELISSA CHEATUM (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1720872062

MELISSA CHEATUM (PMHNP-BC) is a healthcare provider. based in Saint joseph, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 2025002429 (MO). The NPI Number for MELISSA CHEATUM (PMHNP-BC) is 1720872062

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA CHEATUM (PMHNP-BC)
NPI
1720872062
Phone
(330) 553-4070
Address
902 EDMOND ST STE 203
Enumeration Date
9 April 2025
Last Update Date
5 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8163644300
Graduation Year
2024 (2 years ago)
PAC ID
2860910353
Group Practice PAC ID
0547161440
Professional Enrollment ID
I20250519001454
Address ID
MO645012762SA902XXSTXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:1State licenses:2Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for MELISSA CHEATUM (PMHNP-BC)

  • 902 EDMOND ST STE 203

    SAINT JOSEPH, MO 645012762

    Phone: (330) 553-4070

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-05-19

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
I20250519001454INurse 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 64501)

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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: 0547161440View full group profile
NameSpecialtyState
-MO
Clinical Social WorkerMO
-MO
Nurse PractitionerMO
Psychiatry, Internal MedicineMO
Nurse PractitionerMO
-MO
Nurse PractitionerMO
Addiction MedicineMO

Reviews

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Frequently asked questions

What is the 10-digit NPI for MELISSA CHEATUM (PMHNP-BC)?
MELISSA CHEATUM (PMHNP-BC) — NPI 1720872062 — is the standard way to identify this listing.
Does the file indicate MELISSA CHEATUM (PMHNP-BC) is practicing under active NPI?
Directory data currently reports MELISSA CHEATUM (PMHNP-BC) as active.
What healthcare role does MELISSA CHEATUM (PMHNP-BC) hold?
Scheduling teams often label MELISSA CHEATUM (PMHNP-BC) under Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect MELISSA CHEATUM (PMHNP-BC) on a map?
Expect Saint Joseph, Missouri as a primary anchor for MELISSA CHEATUM (PMHNP-BC) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.