NPIMap

Individual provider Active NPI

Melissa E Rezk, CRNP

  • Nurse Practitioner
  • Wernersville, PA
National Provider Identifier
1114411477
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP019286 Issued in PA
Practice address
374 Mountain Blvd
Wernersville, PA 19565-9219
Phone
(717) 972-7120
Fax
(717) 972-7121
NPI assigned
Jun 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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 SP019286 PA Primary

Addresses

Primary practice location

374 Mountain Blvd
Wernersville, PA 19565-9219

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Other practice location 1

33 Beaver Dr
Du Bois, PA 15801-2434
Phone (585) 233-2817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181018001287 PA Practitioner - Nurse Practitioner 6305198490 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SNF Specialty ServicesGroup PAC ID 3375989668, 56 clinicians
Silver Willow Wellness PCGroup PAC ID 5597271577, 118 clinicians

Practice addresses (Care Compare)

15 N Front St
Clearfield, PA 16830-2455
Phone (570) 561-2990

2901 Jolly Rd
Plymouth Meeting, PA 19462-2324
Phone (610) 272-8221

33 Beaver Dr
Suite 1
Du Bois, PA 15801-2434
Phone (570) 561-2990

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP019286PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SNF Specialty Services CurrentSince Jan 10, 2024 Accepting new patients
Vital Healthcare Solutions CurrentSince Jan 29, 2019 Accepting new patients
Silver Willow Wellness PC CurrentSince Dec 13, 2025 Accepting new patients

Locations

33 Beaver Dr
Ste 1
Dubois, PA 15801
Phone (570) 561-2990

429 Manor Dr
Ebensburg, PA 15931
Phone (814) 472-6060

2901 Jolly Rd
Plymouth Mtng, PA 19462
Phone (610) 272-3222

2395 Lancaster Pike
Fl 1
Reading, PA 19607
Phone (570) 561-2990

1600 Black Rock Rd
Royersford, PA 19468
Phone (610) 792-2224

2395 Lancaster Pike
Shillington, PA 19607
Phone (610) 375-7454

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 and National Provider Directory roles.

Hospital & facility affiliations 29

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1114411477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 MOUNTAIN BLVD",
            "city": "WERNERSVILLE",
            "state": "PA",
            "postal_code": "195659219",
            "telephone_number": "717-972-7120",
            "fax_number": "717-972-7121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Beaver Dr",
            "address_purpose": "LOCATION",
            "city": "Du Bois",
            "state": "PA",
            "postal_code": "158012434",
            "country_code": "US",
            "telephone_number": "585-233-2817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REZK",
        "first_name": "MELISSA",
        "middle_name": "E",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP019286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wernersville, PA

Sources for this page

Verify at the official NPI Registry.