Individual provider Active NPI

Melissa Anderson Mayfield, CRNP

  • Family Nurse Practitioner
  • Crossville, AL
National Provider Identifier
1124591177
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-118446 Issued in AL
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

Updated by the provider on Jan 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 6901151505, 2 clinicians

Practice addresses (Care Compare)

15239 Al Hwy 68 W
Crossville, AL 35962-3481
Phone (256) 925-0012

Hospital & facility affiliations

  • Medical Centers Homecare Home health agency, Albertville, AL, CCN 017128
  • Enhabit Home Health Home health agency, Hoover, AL, CCN 017009
  • Marshall Medical Centers Hospital, Boaz, AL, CCN 010005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-118446ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Asset Group, LLC Multi-Specialty CurrentSince Apr 2, 2019 Accepting new patients
Medical Asset Group, LLC CurrentSince Apr 2, 2019 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.

Hospital & facility affiliations 3

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

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

Verify at the official NPI Registry.