Individual provider Active NPI

Mary Ryan Melin, F.N.P.

  • Family Nurse Practitioner
  • Charleston, SC
National Provider Identifier
1023444767
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18486 Issued in SC
Practice address
2073 Charlie Hall Blvd
Charleston, SC 29414-5834
Phone
(843) 571-0643
Fax
(843) 571-0311
NPI assigned
Sep 25, 2013
Last updated
Mar 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024195707 VA
Family Nurse Practitioner 363LF0000X 18486 SC Primary

Addresses

Primary practice location

2073 Charlie Hall Blvd
Charleston, SC 29414-5834

Mailing address

2073 Charlie Hall Blvd
Charleston, SC 29414-5834
Phone (843) 571-0643

Other practice location 1

1232 Perimeter Pkwy Ste 104
Virginia Beach, VA 23454-5924
Phone (757) 442-7213

Other practice location 2

125 Doughty St Ste 280
Charleston, SC 29403-5727
Phone (843) 720-8369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, VA2 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
I20150617002698 SC Practitioner - Nurse Practitioner 7214248244 Reassigns benefits to 4 organizations
I20260325000182 VA Practitioner - Nurse Practitioner 7214248244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesapeake Bay ENT PCGroup PAC ID 4486715018, 9 clinicians
Palmetto Digestive Disease PAGroup PAC ID 7719978444, 11 clinicians

Practice addresses (Care Compare)

1232 Perimeter Pkwy
Suite 104
Virginia Beach, VA 23454-5924
Phone (757) 821-2090

2073 Charlie Hall Blvd
Charleston, SC 29414-5834
Phone (843) 571-0643

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024195707VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Bay ENT PC CurrentSince Apr 1, 2026 Accepting new patients
Roper Saint Francis Physicians Network Current Accepting new patients
Minuteclinic Diagnostic South Carolina LLC Family CurrentSince Apr 27, 2015 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Oct 20, 2023 Accepting new patients
Roper St. Francis Specialty Physicians CurrentSince Feb 1, 2026 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Oct 20, 2023 Accepting new patients
Palmetto Digestive Disease PA CurrentSince Mar 1, 2016 Accepting new patients
Roper Saint Francis Physicians Network Past Accepting new patients

Locations

125 Doughty St
Ste 280
Charleston, SC 29403
Phone (843) 577-6957

2073 Charlie Hall Blvd
Charleston, SC 29414
Phone (843) 571-0643

2097 Henry Tecklenburg Dr
Ste 211W
Charleston, SC 29414
Phone (843) 958-2555

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

8950 University Blvd
Ste 300
North Charleston, SC 29406
Phone (843) 402-1766

698 Fairview Rd
Simpsonville, SC 29680
Phone (864) 360-8112

1232 Perimeter Pkwy
Ste 104
Virginia Beach, VA 23454
Phone (757) 442-7213

5701 Cleveland St
Ste 300
Virginia Beach, VA 23462
Phone (757) 942-5466

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDEABA/Endpoint/IDEABA

Organizations & group practices 8

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

Hospital & facility affiliations 4

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": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1023444767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2073 CHARLIE HALL BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145834",
            "telephone_number": "843-571-0643",
            "fax_number": "843-571-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2073 CHARLIE HALL BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145834",
            "telephone_number": "843-571-0643",
            "fax_number": "843-571-0311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1232 Perimeter Pkwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234545924",
            "country_code": "US",
            "telephone_number": "757-442-7213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Doughty St Ste 280",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294035727",
            "country_code": "US",
            "telephone_number": "843-720-8369",
            "fax_number": "843-720-8370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELIN",
        "first_name": "MARY",
        "middle_name": "RYAN",
        "name_prefix": "Mrs.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-25",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024195707",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "18486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.