Individual provider Active NPI

Melinda R Milliken, CRNP

  • Adult Health Nurse Practitioner
  • Wynnewood, PA
National Provider Identifier
1013210764
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP007732 Issued in PA
Practice address
100 Lancaster Avenue
Suite 230
Wynnewood, PA 19096
Phone
(610) 642-3796
NPI assigned
Dec 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

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 SP007732 PA Primary

Addresses

Primary practice location

100 Lancaster Avenue
Suite 230
Wynnewood, PA 19096

Mailing address

100 Lancaster Avenue
Suite 230
Wynnewood, PA 19096
Phone (610) 642-3796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20140404001136 PA Practitioner - Nurse Practitioner 8224260203 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonology Associates Inc CurrentSince Mar 12, 2014 Accepting new patients
Main Line Healthcare Past Accepting new patients

Locations

255 W Lancaster Ave
Ste 124
Paoli, PA 19301
Phone (610) 648-0553

100 E Lancaster Ave
Ste 230W
Wynnewood, PA 19096

100 E Lancaster Ave
Ste W230
Wynnewood, PA 19096
Phone (610) 642-3796

100 E Lancaster Ave
Ste 230
Wynnewood, PA 19096
Phone (610) 642-3796

Interoperability endpoints

  • Direct secure messaging: melinda.milliken@pai.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DJJDBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/DJJDBA/Endpoint/DJJDBA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292544000000",
    "number": "1013210764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LANCASTER AVENUE",
            "address_2": "SUITE 230",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "19096",
            "telephone_number": "610-642-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LANCASTER AVENUE",
            "address_2": "SUITE 230",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "19096",
            "telephone_number": "610-642-3796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLIKEN",
        "first_name": "MELINDA",
        "middle_name": "R",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-17",
        "last_updated": "2010-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP007732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

Verify at the official NPI Registry.