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

Mrs. Kimberly Ann Mellick, MSN, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1073897930

Mrs. Kimberly Ann Mellick, MSN, FNP-BC is a Nurse Practitioner in Jackson, Wyoming. Qualified in 2011, 15 years ago. Practices with Jackson Whole Family Health Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
15
Licensed in
WY
In the registry since
2011
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1110 Maple Way
Jackson, WY 83001
Phone: (307) 733-7003
Fax: (307) 734-8477
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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 1137 (WY)

Record details

NPI number1073897930
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , FNP-BC
Sole proprietorNo
NPI enumeratedOctober 10, 2011
Last updated in NPPESJuly 24, 2025
Certification dateJuly 16, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Jackson Whole Family Health Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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