NPIMap

Individual provider Active NPI

Melissa Eckman, NP-C

  • Nurse Practitioner
  • Warren, PA
National Provider Identifier
1053863191
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP017326 Issued in PA
Practice address
2 W Crescent Park
Warren, PA 16365
Phone
(814) 723-0407
Fax
(814) 726-9412
NPI assigned
Oct 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP017326 PA Primary

Addresses

Primary practice location

2 W Crescent Park
Warren, PA 16365

Mailing address

2 W Crescent Park
Warren, PA 16365-2199
Phone (814) 723-4973

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address melissaeckman@wagho.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170710001703 PA Practitioner - Nurse Practitioner 6608150529 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP017326PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Warren General Hospital CurrentSince May 31, 2017 Accepting new patients
Warren General Hospital CurrentSince May 31, 2017 Accepting new patients
Warren Medical Group Inc Past Accepting new patients

Locations

2 W Crescent Park
Warren, PA 16365
Phone (814) 452-5337

103 W Saint Clair St
Rm 2A
Warren, PA 16365
Phone (814) 723-1212

2817 Market St
Warren, PA 16365
Phone (814) 723-3794

2 W Crescent Park
Fl 2
Warren, PA 16365
Phone (814) 723-0407

400 E Main St
Youngsville, PA 16371
Phone (814) 563-7591

Interoperability endpoints

  • Direct secure messaging: melissaeckman@directaddress.net

Organizations & group practices 11

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Warren General Hospital 100 clinicians

Practice addresses (Care Compare)

400 E Main St
Youngsville, PA 16371-1128
Phone (814) 563-7591

Hospital & facility affiliations

  • Hospital Home Care Services Home health agency, Warren, PA, CCN 397092
  • Darling'S Home Care Home health agency, Warren, PA, CCN 398240
  • Warren General Hospital Hospital, Warren, PA, CCN 391319
  • Warren General Hospital Hospital, Warren, PA, CCN 390146
  • Upmc Kane Hospital, Kane, PA, CCN 391318

NPI Registry JSON

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1053863191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W CRESCENT PARK",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163652199",
            "telephone_number": "814-723-4973",
            "fax_number": "814-723-8952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W CRESCENT PARK",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "16365",
            "telephone_number": "814-723-0407",
            "fax_number": "814-726-9412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKMAN",
        "first_name": "MELISSA",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP017326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melissaeckman@wagho.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "2 W Crescent Park",
            "city": "Warren",
            "state": "PA",
            "country_code": "US",
            "postal_code": "16365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warren, PA

Sources for this page

Verify at the official NPI Registry.