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

Melissa Lynn Marino

Individual provider Gerontology Nurse Practitioner · NPI 1174358568

Melissa Lynn Marino is a Nurse Practitioner in Gideon, Missouri. Qualified in 2025, 1 year ago. Licensed in Arkansas, Missouri and Tennessee.

Years since qualifying
1
Licensed in
AR, MO, TN
In the registry since
2024
Specialties on file
5

Practice location Address checks out

100 N Main St
Gideon, MO 63848-9253
Phone: (870) 838-7300
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 39459 (TN)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 39459 (TN)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 236794 (AR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 2026012430 (MO)

Record details

NPI number1174358568
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 4, 2024
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare