Individual provider Active NPI

Melody A Miller, CRNP

  • Family Nurse Practitioner
  • St Marys, PA
National Provider Identifier
1114787306
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP029407 Issued in PA
Practice address
Wellnow Urgent Care
917 S St Marys St
St Marys, PA 15857
Phone
(814) 389-1026
NPI assigned
Mar 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP029407 PA Primary

Addresses

Primary practice location

Wellnow Urgent Care
917 S St Marys St
St Marys, PA 15857

Mailing address

53 Walter Rd
Grampian, PA 16838-8945
Phone (814) 771-3352

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
I20240404002515 PA Practitioner - Nurse Practitioner 1254779689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellnow Urgent Care, P.C.Group PAC ID 8325320864, 395 clinicians

Practice addresses (Care Compare)

26 Bolivar Dr
Bradford, PA 16701-3125
Phone (814) 817-4690

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP029407PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellnow Urgent Care, PC CurrentSince May 20, 2024 Accepting new patients
Wellnow Urgent Care, PC PastSince Mar 24, 2024 Accepting new patients

Locations

26 Bolivar Dr
Bradford, PA 16701
Phone (814) 817-4690

917 S Saint Marys St
Saint Marys, PA 15857
Phone (814) 389-1026

Organizations & group practices 2

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": "1711065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1114787306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 WALTER RD",
            "city": "GRAMPIAN",
            "state": "PA",
            "postal_code": "168388945",
            "telephone_number": "814-771-3352",
            "fax_number": "814-583-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WELLNOW URGENT CARE",
            "address_2": "917 S ST MARYS ST",
            "city": "ST MARYS",
            "state": "PA",
            "postal_code": "15857",
            "telephone_number": "814-389-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MELODY",
        "middle_name": "A",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP029407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Marys, PA

Sources for this page

Verify at the official NPI Registry.