Individual provider Active NPI

Roselyn Melgar, AGPCNP-BC

  • Primary Care Nurse Practitioner
  • Harpers Ferry, WV
National Provider Identifier
1013743335
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
R235581 Issued in MD
Practice address
1263 S George St
Harpers Ferry, WV 25425
Phone
(304) 725-6575
NPI assigned
Sep 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X R235581 MD Primary

Addresses

Primary practice location

1263 S George St
Harpers Ferry, WV 25425

Mailing address

1263 S George St
Charles Town, WV 25414-4384
Phone (304) 725-6575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241101000270 MD Practitioner - Nurse Practitioner 4789117599
I20241114004230 WV Practitioner - Nurse Practitioner 4789117599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R235581MDMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stonerise Services, LLC CurrentSince Jan 1, 2025 Accepting new patients
PA Post Acute Services PC CurrentSince Sep 30, 2024 Accepting new patients
CNP Operating Co LLC CurrentSince Sep 30, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2525 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 367-9100

105 Time Sq
Salisbury, MD 21801
Phone (410) 749-2474

183 Holbrook Rd
Buckhannon, WV 26201
Phone (304) 472-3280

1263 S George St
Charles Town, WV 25414
Phone (240) 420-2666

700 Chappell Rd
Charleston, WV 25304
Phone (304) 343-1950

2675 36th St
Parkersburg, WV 26104
Phone (304) 422-8112

Organizations & group practices 4

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": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1013743335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1263 S GEORGE ST",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254144384",
            "telephone_number": "304-725-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1263 S GEORGE ST",
            "city": "HARPERS FERRY",
            "state": "WV",
            "postal_code": "25425",
            "telephone_number": "304-725-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELGAR",
        "first_name": "ROSELYN",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R235581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harpers Ferry, WV

Sources for this page

Verify at the official NPI Registry.