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

Melissa M Rebore

Individual provider Family Nurse Practitioner · NPI 1588339188

Melissa M Rebore is a Nurse Practitioner in Lake St Louis, Missouri. Qualified in 2020, 6 years ago. Practices with SSM Medical Group Inc, a 560-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
6
Licensed in
MO
In the registry since
2021
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Practice location Address checks out

400 Medical Plz Ste 200
Lake St Louis, MO 63367-1417
Phone: (636) 625-2662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 11560 Olive Blvd, Creve Coeur, MO 63141-7111 — (314) 995-7128
  • 21 Hawthorne Ct, O Fallon, MO 63366-4105 — (636) 751-8777

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2020031322 (MO)

Record details

NPI number1588339188
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 16, 2021
Last updated in NPPESFebruary 7, 2023
Certification dateFebruary 7, 2023
Mailing addressPo Box 955534, Saint Louis, MO 63195-5534

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ssm Medical Group Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Lake St Louis