Doctor profile · Federal record

Dr. Kimberly Mellick, MSN, FNP-BC

Family Nurse Practitioner (CMS: Nurse Practitioner) · Jackson, WY

  • NPI 1073897930
  • Accepts Medicare
  • 15 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1110 Maple Way
Jackson, WY 83001
(307) 733-7003
fax (307) 734-8477
Mailing address
Po Box 10738
Jackson, WY 830020738

Credentials & registration

NPPES · NUCC
NPI registered
October 2011 — 15 yrs on file
Profile last updated
July 24, 2025
Year of graduation
2011 — 15 yrs since
Specialty taxonomy
363LF0000X — NUCC code
State license (1)
Wyoming #1137
Medicaid
WY #121882400

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1073897930. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
15
Distinct HCPCS
1
Medicare allowed
$1,603
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 15 12 $107

In context: peer comparison

Among 3 peers in this city , average services per provider: 76. This provider delivers 0.2× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Kimberly Mellick's medical specialty?
Dr. Kimberly Mellick practices Family Nurse Practitioner in Jackson, WY.
Where does Dr. Kimberly Mellick practice?
Dr. Kimberly Mellick practices at 1110 Maple Way, Jackson, WY 83001. Office phone: 3077337003.
What is Dr. Kimberly Mellick's NPI?
Dr. Kimberly Mellick's National Provider Identifier (NPI) is 1073897930, issued by NPPES.
Does Dr. Kimberly Mellick accept Medicare assignment?
Yes. Dr. Kimberly Mellick accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kimberly Mellick commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.