Individual provider Active NPI

Amy Melna, APRN

  • Family Nurse Practitioner
  • Northfield, VT
National Provider Identifier
1083210272
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101.0134718 Issued in VT
Practice address
71 Richardson St
Northfield, VT 05663-5644
Phone
(802) 485-3161
Fax
(802) 485-6307
NPI assigned
Dec 11, 2020
Last updated
Dec 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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 101.0134718 VT Primary
Registered Nurse 163W00000X 026.0029917 VT

Addresses

Primary practice location

71 Richardson St
Northfield, VT 05663-5644

Mailing address

71 Richardson St
Northfield, VT 05663-5644
Phone (802) 485-3161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20220105002107 VT Practitioner - Nurse Practitioner 4688080377 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Clearchoicemd, PLLCGroup PAC ID 1850510058, 85 clinicians

Practice addresses (Care Compare)

173 S Main St
Rutland, VT 05701-4713
Phone (603) 526-4635

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
026.0029917VTMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Wound Care Vermont PLLC CurrentSince Nov 25, 2021 Accepting new patients
Clearchoicemd, PLLC CurrentSince Oct 16, 2023 Accepting new patients
Clearchoicemd, PLLC CurrentSince Oct 16, 2023 Accepting new patients
Clearchoicemd Primary Care PLLC Past Accepting new patients

Locations

492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468

798 US Route 302
#2
Barre, VT 05641
Phone (802) 744-0138

173 S Main St
Rutland, VT 05701
Phone (802) 772-4165

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1083210272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 RICHARDSON ST",
            "city": "NORTHFIELD",
            "state": "VT",
            "postal_code": "056635644",
            "telephone_number": "802-485-3161",
            "fax_number": "802-485-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 RICHARDSON ST",
            "city": "NORTHFIELD",
            "state": "VT",
            "postal_code": "056635644",
            "telephone_number": "802-485-3161",
            "fax_number": "802-485-6307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELNA",
        "first_name": "AMY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0134718",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VT",
            "license": "026.0029917",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, VT

Sources for this page

Verify at the official NPI Registry.