Individual provider Active NPI

Melanie L Birch, NP

  • Adult Health Nurse Practitioner
  • Boardman, OH
National Provider Identifier
1003914904
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN.CNP.07903 Issued in OH
Practice address
960 Windham CT Ste 1
Boardman, OH 44512-5087
Phone
(330) 726-3357
Fax
(330) 726-1465
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN.CNP.07903 OH Primary

Addresses

Primary practice location

960 Windham CT Ste 1
Boardman, OH 44512-5087

Mailing address

960 Windham CT Ste 1
Boardman, OH 44512-5087
Phone (330) 726-3357

Other practice location 1

1421 E Market St
Warren, OH 44483-6609
Phone (330) 726-3357

Other identifiers 1

IdentifierTypeStateIssuer
2539828MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050120001058 OH Practitioner - Nurse Practitioner 0941259535 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Youngstown Specialty Care LLCGroup PAC ID 3476950296, 463 clinicians

Practice addresses (Care Compare)

1421 E Market St
Warren, OH 44483-6609
Phone (330) 726-3357

410 W 10TH Ave
Columbus, OH 43210-1240
Phone (614) 293-8000

8401 Market St
Boardman, OH 44512-6725
Phone (330) 480-2040

960 Windham CT
Suite 1
Boardman, OH 44512-5087
Phone (330) 726-3357

Hospital & facility affiliations

  • MH St Joseph Warren Hospital Hospital, Warren, OH, CCN 360161
  • HMHP St Elizabeth Boardman Health Center Hospital, Boardman, OH, CCN 360276
  • MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064
  • Surgical Hospital at Southwoods Hospital, Youngstown, OH, CCN 360352

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.07903OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Ohio Medical Specialists LLC CurrentSince Dec 9, 2024 Accepting new patients
Fernando G Chaves MD Inc CurrentSince Jul 10, 2008 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Dec 31, 2025 Accepting new patients
Northern Ohio Medical Specialists, LLC CurrentSince Dec 9, 2024 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Dec 31, 2025 Accepting new patients
Alliance Medical Associates Inc Past Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC Past Accepting new patients

Locations

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841

2500 W Strub Rd
Ste 200
Sandusky, OH 44870
Phone (567) 998-3068

1421 E Market St
Warren, OH 44483
Phone (330) 393-5864

960 Windham Ct
Ste 1
Youngstown, OH 44512
Phone (330) 726-3357

Interoperability endpoints

  • Direct secure messaging: mbirch30637@nomshealthcare.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1003914904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 WINDHAM CT STE 1",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125087",
            "telephone_number": "330-726-3357",
            "fax_number": "330-726-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 WINDHAM CT STE 1",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125087",
            "telephone_number": "330-726-3357",
            "fax_number": "330-726-1465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1421 E Market St",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444836609",
            "country_code": "US",
            "telephone_number": "330-726-3357",
            "fax_number": "330-726-1465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIRCH",
        "first_name": "MELANIE",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "APRN.CNP.07903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2539828",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.