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

Mrs. Melissa Marie Black, FNP-C

Individual provider Family Nurse Practitioner · NPI 1659077238

Mrs. Melissa Marie Black, FNP-C is a Nurse Practitioner in Rexburg, Idaho. Qualified in 2022, 4 years ago. Practices with Madison Memorial Hospital, a 20-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
4
Licensed in
ID
In the registry since
2023
Specialties on file
3
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

450 E Main St
Rexburg, ID 83440-2048
Phone: (208) 359-9811
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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 59333 (ID)
Registered Nurse Taxonomy 163W00000X · Licence 59333 (ID)
Sleep Medicine (Family Medicine) Physician Taxonomy 207QS1201X · Licence 59333 (ID)

Record details

NPI number1659077238
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedFebruary 6, 2023
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Madison Memorial Hospital — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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