Individual provider Active NPI

Melissa Ann Teets, CRNP

  • Primary Care Nurse Practitioner
  • Uniontown, PA
National Provider Identifier
1073956157
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
SP016378 Issued in PA
Practice address
140 Wayland Smith Dr
Uniontown, PA 15401-2677
Phone
(724) 437-9854
NPI assigned
Apr 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X SP016378 PA
Family Nurse Practitioner 363LF0000X R205596 MD
Primary Care Nurse Practitioner 363LP2300X SP016378 PA
Primary Care Nurse Practitioner 363LP2300X SP016378 PA Primary

Addresses

Primary practice location

140 Wayland Smith Dr
Uniontown, PA 15401-2677

Mailing address

140 Wayland Smith Dr # a
Uniontown, PA 15401-2677
Phone (724) 437-9854

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
I20130626000363 MD Practitioner - Nurse Practitioner 5991944894 Reassigns benefits to 1 organization
I20160519002062 WV Practitioner - Nurse Practitioner 5991944894 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R205596MDMDFamily Nurse Practitioner
SP016378PAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carelon Medical Partners, PC CurrentSince May 16, 2016 Accepting new patients
Western Maryland Health Care Corporation Past Accepting new patients

Locations

333 Commerce St
Ste 700
Nashville, TN 37201
Phone (615) 627-2293

3501 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 988-4644

Interoperability endpoints

  • Direct secure messaging: melissa.a.teets@upmcdirect.com

Organizations & group practices 3

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": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1073956157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 WAYLAND SMITH DR # A",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154012677",
            "telephone_number": "724-437-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 WAYLAND SMITH DR",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154012677",
            "telephone_number": "724-437-9854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEETS",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-09",
        "last_updated": "2022-08-23",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "SP016378",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R205596",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP016378",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP016378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

Verify at the official NPI Registry.