Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Retha Marceleen Melton, PA-C

Individual provider Physician Assistant · NPI 1366074817

Retha Marceleen Melton, PA-C is a Physician Assistant in Bolivar, Missouri. Qualified in 2019, 7 years ago. Practices with Citizens Memorial Healthcare, a 145-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
7
Licensed in
MO
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1155 W Parkview St Ste 2D
Bolivar, MO 65613
Phone: (417) 777-2663
Fax: (417) 777-2666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2020005350 (MO)

Record details

NPI number1366074817
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 12, 2020
Last updated in NPPESMarch 29, 2021
Certification dateMarch 29, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Citizens Memorial Healthcare — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Bolivar