Individual provider Active NPI

Melissa Stanley, F.N.P.

  • Family Nurse Practitioner
  • Charlottesville, VA
National Provider Identifier
1083988778
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024169907 Issued in VA
Practice address
1356 River Rd
Charlottesville, VA 22901
Phone
(434) 980-6412
Fax
(434) 980-6413
NPI assigned
Feb 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024169907 VA Primary

Addresses

Primary practice location

1356 River Rd
Charlottesville, VA 22901

Mailing address

1356 River Rd
Charlottesville, VA 22901
Phone (434) 980-6412

Other identifiers 1

IdentifierTypeStateIssuer
C06778OtherVAGROUP PTAN

Other names 1

  • Melissa Stanley Owens Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20120413000153 VA Practitioner - Nurse Practitioner 4587825898 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Care Aco LLCGroup PAC ID 3274996426, 36 clinicians

Practice addresses (Care Compare)

2420 Pemberton Rd
Richmond, VA 23233-2003
Phone (804) 747-9200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024169907VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Internal Medicine Inc CurrentSince Oct 1, 2025 Accepting new patients
Legacy Care Aco LLC CurrentSince Jan 1, 2024 Accepting new patients
Legacy Care LLC CurrentSince Jul 1, 2020 Accepting new patients
M Medical Group, Inc. CurrentSince Aug 29, 2025 Accepting new patients
SNF LTC Partners of Virginia CurrentSince Nov 30, 2025 Accepting new patients
Pai Participant 1 LLC CurrentSince Sep 23, 2025 Accepting new patients
M Medical Group, Inc. CurrentSince Aug 29, 2025 Accepting new patients
Careteam, LLC PastSince Nov 29, 2020 Accepting new patients
Bon Secours-St. Mary's Hospital of Richmond, Inc. Past Accepting new patients

Locations

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

1475 Virginia Ave
Harrisonburg, VA 22802
Phone (540) 564-3400

7600 Autumn Park Way
Mechanicsvlle, VA 23116
Phone (804) 730-0009

1776 Cambridge Dr
Richmond, VA 23238
Phone (804) 368-6474

2420 Pemberton Rd
Richmond, VA 23233
Phone (804) 254-5100

1004 Independence Blvd
Virginia Beach, VA 23455
Phone (757) 464-4058

780 Lynnhaven Pkwy
Ste 400
Virginia Beach, VA 23452
Phone (201) 581-3411

2901 S Lynnhaven Rd
Ste 450
Virginia Beach, VA 23452
Phone (757) 351-4585

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19266/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/17374/brand/6/csg/81/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/17374/brand/19/csg/1/fhir/r4

Organizations & group practices 9

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": "1330387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1083988778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 RIVER RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "22901",
            "telephone_number": "434-980-6412",
            "fax_number": "434-980-6413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1356 RIVER RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "22901",
            "telephone_number": "434-980-6412",
            "fax_number": "434-980-6413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "MELISSA",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-28",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024169907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C06778",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "OWENS",
            "middle_name": "STANLEY",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.