Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073263653 Individual Practitioner Female Practitioner

Dr. Melanie Renee Hanisch , DO

Pediatrics • Owasso, OK

Professional Overview & Biography Verified Profile Summary

Dr. Melanie Hanisch, DO is a registered healthcare professional specializing in Pediatrics in Owasso, OK. Practice services are available at 12150 E 96TH ST N STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12150 E 96th St N Ste 101

Owasso, OK 740555339

Telephone 9187165437
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Owasso, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
10 Specialists

Practicing in Owasso, OK (730 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-09-11
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OK 8214

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Secondary Practice Locations

5795 S Elm Pl

Broken Arrow, OK 740114893

Phone: 9187165437

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Jade Kraf-Brown , RN

Registered Nurse

NPI 1083551923

Registered Nurse

NPI 1396945564

Doctor of Medicine (M.D.)

Eryn Curry

Physician Assistant

NPI 1417508243
NPI 1790940500

Doctor of Osteopathic Medicine (D.O.)

Brandi Hamm , NP

Nurse Practitioner

NPI 1841523594

Nurse Practitioner

NPI 1952574519

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location September 11, 2025

Registered at 12150 E 96TH ST N STE 101, OWASSO, OK 740555339 (Tel: 9187165437)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2025

Pediatrics (License #8214 in OK)

📍
Updated Business Mailing Address December 18, 2024

Registered at 4030 E 43RD ST, TULSA, OK 741352745 (Tel: 7325514026)

👤
Provider Name / Credentials Updated December 18, 2024

Recorded as MELANIE HANISCH, DO

NPI Profile Active March 25, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location March 25, 2022

Registered at 717 S HOUSTON AVE, TULSA, OK 741279023 (Tel: 9183823178)

📍
Updated Business Mailing Address March 25, 2022

Registered at 123 CANNON BLVD, JACKSON, NJ 085275112 (Tel: 7325514026)

👤
Provider Name / Credentials Updated March 25, 2022

Recorded as MELANIE BENNETT, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 25, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073263653
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 25, 2022
Last Update: September 11, 2025
Sole Proprietor: No

Mailing Address

4030 E 43rd St

Tulsa, OK 741352745

Phone: 7325514026

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.