Individual provider Active NPI

Melanie Renee Gillman, CRNP

  • Adult Health Nurse Practitioner
  • Hershey, PA
National Provider Identifier
1104339779
Registry record updated Nov 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP018030 Issued in PA
Practice address
121 Towne Square Dr Ste 303
Hershey, PA 17033-9440
Phone
(717) 909-0290
Fax
(717) 909-0292
NPI assigned
Nov 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP018030 PA Primary

Addresses

Primary practice location

121 Towne Square Dr Ste 303
Hershey, PA 17033-9440

Mailing address

121 Towne Square Dr Ste 303
Hershey, PA 17033-9440
Phone (717) 909-0290

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mgillman108724@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20171221001021 PA Practitioner - Nurse Practitioner 2961760988 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

805 Sir Thomas CT
Suite 2
Harrisburg, PA 17109-4839
Phone (717) 657-3030

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Aug 14, 2019 Accepting new patients
Pinnacle Health Medical Services CurrentSince Aug 14, 2019 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Aug 14, 2019 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Aug 14, 2019 Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

5 Brookwood Ave
Ste 1
Carlisle, PA 17015
Phone (717) 249-2424

2 Jennifer Ct
Ste B
Carlisle, PA 17015
Phone (717) 218-9830

1533 Commerce Ave
Carlisle, PA 17015
Phone (717) 960-0227

1533 Commerce Ave
Ste 2
Carlisle, PA 17015
Phone (717) 796-9300

366 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-1900

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

4315 Londonderry Rd
Harrisburg, PA 17109
Phone (717) 909-0290

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

805 Sir Thomas Ct
Ste 2
Harrisburg, PA 17109
Phone (717) 657-3030

121 Towne Square Dr
Ste 303
Hershey, PA 17033
Phone (717) 761-4141

Interoperability endpoints

  • Direct secure messaging: mgillman424834@upmc.direct-ci.com

Organizations & group practices 10

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": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764288000000",
    "number": "1104339779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 TOWNE SQUARE DR STE 303",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170339440",
            "telephone_number": "717-909-0290",
            "fax_number": "717-909-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 TOWNE SQUARE DR STE 303",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170339440",
            "telephone_number": "717-909-0290",
            "fax_number": "717-909-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLMAN",
        "first_name": "MELANIE",
        "middle_name": "RENEE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-06",
        "last_updated": "2025-11-28",
        "certification_date": "2025-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP018030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgillman108724@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "1533 Commerce Ave",
            "city": "Carlisle",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170159128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

Verify at the official NPI Registry.