MELODY BOSKUIL KONG-NDOUMBE, BSN — NPI 1306094834 (Licensed & Credentialed Registered Nurse, Maternal Newborn in FORT IRWIN, CA)

CMS-1500 Box 24J / 33a • NPI

1306094834

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

163WM0102X

Licensed & Credentialed Registered Nurse, Maternal Newborn

Box 32 Service Location & ZIP+4

4TH ST. AND G AVENUE, WEED ARMY COMMUNITY HOSPITAL, BUILDING 166, ROOM 414, ATTN: CREDENTIALS OFFICE, FORT IRWIN, CA, 92310-5109

✓ 9-Digit EDI 837 ZIP+4 (92310-5109)

Practice Phone & Referral Fax

(760) 380-6293

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1306094834 (MELODY BOSKUIL KONG-NDOUMBE, BSN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1306094834` (NPI-1 Individual Practitioner)
Provider / Legal Name	MELODY BOSKUIL KONG-NDOUMBE, BSN
Plain-English Specialty	Licensed & Credentialed Registered Nurse, Maternal Newborn NUCC Code: `163WM0102X` (Registered Nurse, Maternal Newborn)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	4TH ST. AND G AVENUE, WEED ARMY COMMUNITY HOSPITAL, BUILDING 166, ROOM 414, ATTN: CREDENTIALS OFFICE, FORT IRWIN, CA, 92310-5109
Practice Telephone / Fax	Tel: (760) 380-6293
Administrative Mailing Address	8407 REMAGEN ST APT B, FORT IRWIN, CA, 92310-2467
Enumeration & Last Sync	Enumerated: 2008-09-09 \| CMS Record Updated: 2008-09-09

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

4TH ST. AND G AVENUE, WEED ARMY COMMUNITY HOSPITAL, BUILDING 166, ROOM 414, ATTN: CREDENTIALS OFFICE, FORT IRWIN, CA, 92310-5109

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Plain-English Taxonomy & CMS Crosswalk (163WM0102X)

What Does Taxonomy Code 163WM0102X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WM0102X translates to:
"Licensed & Credentialed Registered Nurse, Maternal Newborn"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Registered Nurse, Maternal Newborn for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MELODY BOSKUIL KONG-NDOUMBE, BSN)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`163WM0102X` — Registered Nurse, Maternal Newborn Plain English: Licensed & Credentialed Registered Nurse, Maternal Newborn	State: WI \| License: `132473-030` \| Primary: Yes (Primary)

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MELODY BOSKUIL KONG-NDOUMBE, BSN (NPI #1306094834)