Individual provider Active NPI

Melany Ann Remitz, RN, BSN, FNP-BC

  • Registered Nurse
  • New Berlin, WI
National Provider Identifier
1104148147
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
159477-30 Issued in WI
Practice address
15435 W National Ave
New Berlin, WI 53151-5156
Phone
(262) 746-2022
NPI assigned
Feb 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 159477-30 WI Primary

Addresses

Primary practice location

15435 W National Ave
New Berlin, WI 53151-5156

Mailing address

1320 Prairie Creek Blvd
Oconomowoc, WI 53066-8697
Phone (262) 875-7484

Other names 1

  • Melany Ann Olson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
159477-30WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1104148147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 PRAIRIE CREEK BLVD",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530668697",
            "telephone_number": "262-875-7484",
            "fax_number": "262-746-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15435 W NATIONAL AVE",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531515156",
            "telephone_number": "262-746-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMITZ",
        "first_name": "MELANY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "RN, BSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-18",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "159477-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANY",
            "last_name": "OLSON",
            "middle_name": "ANN",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Berlin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.