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Melissa Marcum , LPN

Licensed Practical Nurse β€’ Jackson, OH

Active NPI 1871062893 Individual Practitioner Female Practitioner
Practice location in NPPES

500 Burlington Rd
Jackson, OH 456409360

Call 7402865075 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

500 Burlington Rd

Jackson, OH 456409360

Telephone 7402865075
Fax 7403958411
Organization at the Same NPPES Address or Phone
Holzer Medical Center Jackson Facility NPI 1669410940

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Jackson and Ohio

21 active clinicians are listed under Licensed Practical Nurse with a practice address in Jackson, OH (12,649 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jackson

0% of these 21 clinicians have the CMS telehealth indicator.

0% of these 21 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-09-05
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES OH LPN147420

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Kip Bryant , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1083380349

Psychiatric-Mental Health Nurse Practitioner

Jessica Collins , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1649704081

Advanced Practice Registered Nurse

Seth Forgey , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1326490087

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Lisa Kearns , MSN APRN BC

Clinical Nurse Specialist - Psychiatric/Mental Health

NPI 1720054844

MSNAPRNBC

Dr. Boris Todorov , PhD

Psychologist - Clinical

NPI 1740672963

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ‘€
Provider Name / Credentials Updated September 05, 2025

Recorded as MELISSA MARCUM, LPN

βœ…
NPI Profile Active November 20, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 20, 2018

Registered at 500 BURLINGTON RD, JACKSON, OH 456409360 (Tel: 7402865075)

πŸ“
Business Mailing Address (Initial Record) November 20, 2018

Registered at PO BOX 188, CHILLICOTHE, OH 456010188 (Tel: 7407734366)

πŸ‘€
Provider Name / Credentials (Initial Record) November 20, 2018

Recorded as MELISSA DAVIS, LPN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2018

Licensed Practical Nurse (license number reported to NPPES: OH LPN147420)

🟒
Initial NPI Registration & Enumeration November 20, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1871062893
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 20, 2018
Last Update: September 05, 2025
Sole Proprietor: No

Mailing Address

Po Box 188

Chillicothe, OH 456010188

Phone: 7407734366

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.