Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Melanie R Soper, FNP-BC

Individual provider Primary Care Nurse Practitioner · NPI 1184197568

Melanie R Soper, FNP-BC is a Nurse Practitioner in Wilkeson, Washington. Qualified in 2019, 7 years ago. Practices with Ppm Washington LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Indiana, Michigan, Washington and Wisconsin.

Years since qualifying
7
Licensed in
IN, MI, WA, WI
In the registry since
2019
Specialties on file
5
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

Practice location Address checks out

30811 Quinnon Ext Rd E
Wilkeson, WA 98396-1004
Phone: (906) 280-3918
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence AP61317504 (WA)
Registered Nurse Taxonomy 163W00000X · Licence 222244-30 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 4704226990 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 28251764A (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 71009982A (IN)

Record details

NPI number1184197568
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJanuary 8, 2019
Last updated in NPPESSeptember 28, 2024
Certification dateSeptember 28, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ppm Washington Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare