Individual provider Active NPI

Melissa D Erb, NP

  • Nurse Practitioner
  • Odessa, FL
National Provider Identifier
1114100195
Registry record updated Sep 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP3332302 Issued in FL
Practice address
2040 Short Ave
Odessa, FL 33556-3445
Phone
(727) 807-2476
NPI assigned
Dec 12, 2007
Last updated
Sep 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP3332302 FL Primary

Addresses

Primary practice location

2040 Short Ave
Odessa, FL 33556-3445

Mailing address

13020 N Telecom Pkwy
Temple Terrace, FL 33637-0925
Phone (813) 978-9700

Other identifiers 2

IdentifierTypeStateIssuer
P00779278OtherFLRAILROAD MEDICARE
000003300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080730000731 FL Practitioner - Nurse Practitioner 6103990718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Farhan Siddiqi MD PAGroup PAC ID 4284936113, 14 clinicians

Practice addresses (Care Compare)

2040 Short Ave
Odessa, FL 33556-3445
Phone (727) 372-9922

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP3332302FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Farhan Siddiqi, MD PA CurrentSince Sep 18, 2019 Accepting new patients
Farhan Siddiqi, MD PA CurrentSince Sep 18, 2019 Accepting new patients
Musculoskeletal Institute Chartered Past Accepting new patients

Locations

2040 Short Ave
Odessa, FL 33556
Phone (727) 372-9922

11319 Cortez Blvd
Spring Hill, FL 34613
Phone (352) 556-2524

701 N West Shore Blvd
Tampa, FL 33609
Phone (352) 340-5935

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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, 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": "1197417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569628800000",
    "number": "1114100195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13020 N TELECOM PKWY",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370925",
            "telephone_number": "813-978-9700",
            "fax_number": "813-972-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 SHORT AVE",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335563445",
            "telephone_number": "727-807-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERB",
        "first_name": "MELISSA",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-12",
        "last_updated": "2019-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP3332302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00779278",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000003300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, FL

Sources for this page

Verify at the official NPI Registry.