Active NPI
Melissa Anderson Mayfield, CRNP
- Family Nurse Practitioner
- Crossville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-118446
- Practice address
- 15239 Al Highway 68 Ste B
Crossville, AL 35962-3481 - Phone
- (256) 925-0012
- Fax
- (256) 925-0016
- NPI assigned
- Jan 2, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-118446 | AL | Primary |
Addresses
Primary practice location
15239 Al Highway 68 Ste B
Crossville, AL 35962-3481
Mailing address
15239 Al Highway 68 Ste B
Crossville, AL 35962-3481
Phone (256) 925-0012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190628002796 | AL | Practitioner - Nurse Practitioner | 1658605324 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medical Asset Group LLC
Practice addresses (Care Compare)
15239 Al Hwy 68 W
Crossville, AL 35962-3481
Phone (256) 925-0012
Hospital & facility affiliations
- Medical Centers Homecare
- Enhabit Home Health
- Marshall Medical Centers
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-118446 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Asset Group, LLC | Multi-Specialty | Current | Accepting new patients |
| Medical Asset Group, LLC | Current | Accepting new patients |
Locations
3442 US Highway 431
Albertville, AL 35950
Phone (256) 593-1234
15239 AL Highway 68
Crossville, AL 35962
Phone (256) 528-7173
15239 AL Highway 68
Ste B
Crossville, AL 35962
Phone (256) 925-0012
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.
-
- Family Medicine Physician
- Crossville, AL
- NPI 1720595762
AL, Multi-Specialty
-
- Family Medicine Physician
- Albertville, AL
- NPI 1194232132
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Hoover, AL
- NPI 1629539077
-
- Home Health Agency
- Albertville, AL
- NPI 1568645836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546387200000",
"number": "1124591177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15239 AL HIGHWAY 68 STE B",
"city": "CROSSVILLE",
"state": "AL",
"postal_code": "359623481",
"telephone_number": "256-925-0012",
"fax_number": "256-925-0016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15239 AL HIGHWAY 68 STE B",
"city": "CROSSVILLE",
"state": "AL",
"postal_code": "359623481",
"telephone_number": "256-925-0012",
"fax_number": "256-925-0016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYFIELD",
"first_name": "MELISSA",
"middle_name": "ANDERSON",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-02",
"last_updated": "2019-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-118446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crossville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.