Brook Aileen Melvin

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

46326 Issued in KS

Practice address

7341 W 133Rd St
Overland Park, KS 66213-4750

Phone

(913) 297-7472

Fax

(833) 314-0172

NPI assigned

Apr 29, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Brook Hildwein Former name

Medicare fee-for-service enrollment

Enrolled in KS

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brook.melvin.2@16552.direct.athenahealth.com

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.

• Shawnee Mission Medical Center Inc

  • Family Medicine Physician
  • Merriam, KS
  • NPI 1992735690
  Medicare reassignment NPD
• Tadros Internal Medicine Consultants, Inc

  • Internal Medicine Physician
  • Overland Park, KS
  • NPI 1952370512
  NPD (past)

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1114161528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7341 W 133RD ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662134750",
            "telephone_number": "913-297-7472",
            "fax_number": "833-314-0172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7341 W 133RD ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662134750",
            "telephone_number": "913-297-7472",
            "fax_number": "833-314-0172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELVIN",
        "first_name": "BROOK",
        "middle_name": "AILEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-29",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2004004978",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "46326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOK",
            "last_name": "HILDWEIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Beselot Mekonnen
• Katherine Marie Melcher, PHARMD
• Melissa Frye
• Jennifer Rebecca Mellick, M.D.
• Ashley Dawn Melton
• Jay L. Memmott, LCSW
• Svetlana Mena, D.C.
• Christina Marie Mendenhall, CRNA
• Kineisha Mendes
• Gloria Aida Mendiburu, MD

• Family Nurse Practitioner in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.