Individual provider Active NPI

Paulette L Cundy-Melzer, CRNA

  • Certified Registered Nurse Anesthetist
  • Lebanon, OH
National Provider Identifier
1144228115
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
228993 Issued in OH
Practice address
40 Timberwood CT
Lebanon, OH 45036-9603
Phone
(513) 300-2612
NPI assigned
Jul 13, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 228993 OH Primary

Addresses

Primary practice location

40 Timberwood CT
Lebanon, OH 45036-9603

Mailing address

40 Timberwood CT
Lebanon, OH 45036-9603
Phone (513) 300-2612

Other practice location 1

550 Mirabeau St
Greenfield, OH 45123-1617
Phone (740) 779-7540

Other practice location 2

40 Timberwood Ct
Lebanon, OH 45036-9603
Phone (513) 300-2612

Other identifiers 1

IdentifierTypeStateIssuer
2333773MedicaidOH

Other names 1

  • Paulette L Cundy Melzer Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adena@adena.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041027001285 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 4385606821 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apa Solutions, LLCGroup PAC ID 0042604423, 5 clinicians
Anesthesia Services of Greater Dayton LLCGroup PAC ID 1658520747, 24 clinicians
Adena Medical Group LLCGroup PAC ID 1153456579, 384 clinicians

Practice addresses (Care Compare)

2601 Far Hills Ave
Oakwood, OH 45419-1634
Phone (513) 465-5440

550 Mirabeau St
Greenfield, OH 45123-1617
Phone (937) 981-9259

Merit-based Incentive Payment System (MIPS)

Final score
82.93 of 100Reported as group
Quality
64.42
Promoting interoperability
99
Improvement activities
40
Cost
73.2

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
228993OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Adena Medical Group LLC CurrentSince Jun 16, 2023 Accepting new patients
Anesthesia Services of Greater Dayton, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 30, 2024 Accepting new patients
Imperial Enterprise of Ohio LLC CurrentSince Feb 1, 2016 Accepting new patients
Ap Anesthesia Corporation CurrentSince Aug 6, 2023 Accepting new patients
Ogi Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2014 Accepting new patients
Apa Solutions, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 3, 2021 Accepting new patients
Universtiy Anesthesia Assoc., Inc. Past Accepting new patients
Anesthesia Group Practice, Inc Nurse Anesthetist, Certified Registered PastSince Oct 21, 2025 Accepting new patients

Locations

4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

2925 Vernon Pl
Ste 101
Cincinnati, OH 45219
Phone (513) 872-4541

245 W Elmwood Dr
Ste 100
Dayton, OH 45459
Phone (937) 350-6703

4235 Indian Ripple Rd
Dayton, OH 45440
Phone (513) 217-2094

81 Sylvania Dr
Dayton, OH 45440
Phone (937) 431-9531

4235 Indian Ripple Rd
Ste 110
Dayton, OH 45440
Phone (937) 427-7800

550 Mirabeau St
Greenfield, OH 45123
Phone (937) 672-4128

1275 N High St
Hillsboro, OH 45133
Phone (937) 393-5503

1167 Independence Ave
Marion, OH 43302
Phone (614) 352-6479

2601 Far Hills Ave
Oakwood, OH 45419
Phone (937) 298-1093

283 Looney Rd
Piqua, OH 45356
Phone (513) 465-5440

5106 Wilson Mills Rd
Richmond Hts, OH 44143
Phone (440) 461-2570

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

Organizations & group practices 10

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1144228115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 TIMBERWOOD CT",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450369603",
            "telephone_number": "513-300-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 TIMBERWOOD CT",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450369603",
            "telephone_number": "513-300-2612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Mirabeau St",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "OH",
            "postal_code": "451231617",
            "country_code": "US",
            "telephone_number": "740-779-7540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 Timberwood Ct",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OH",
            "postal_code": "450369603",
            "country_code": "US",
            "telephone_number": "513-300-2612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUNDY-MELZER",
        "first_name": "PAULETTE",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2023-07-31",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "228993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2333773",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena@adena.medicity.net",
            "affiliation": "N",
            "address_1": "550 Mirabeau St",
            "city": "Greenfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "451231617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PAULETTE",
            "last_name": "CUNDY MELZER",
            "middle_name": "L",
            "credential": "CRNA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lebanon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.