Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Melissa Ann Hallum, APRN-CNP

Individual provider Family Nurse Practitioner · NPI 1760924153

Melissa Ann Hallum, APRN-CNP is a Nurse Practitioner in Tishomingo, Oklahoma. Qualified in 2016, 10 years ago. Practices with Mercy Clinic Oklahoma Communities, a 648-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma and Texas.

Years since qualifying
10
Licensed in
OK, TX
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

610 E 24th St
Tishomingo, OK 73460-3245
Phone: (580) 371-2343
Fax: (580) 371-3614
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R0092696 (OK)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 1068494 (TX)

Record details

NPI number1760924153
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedNovember 16, 2016
Last updated in NPPESFebruary 26, 2025
Certification dateFebruary 26, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Mercy Clinic Oklahoma Communities — 648 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Tishomingo