Staci Melvin, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

COA-111250NP Issued in OH

Practice address

432 King Church Ave SW
Uniontown, OH 44685-5100

Phone

(330) 877-0781

Fax

(330) 877-0492

NPI assigned

Aug 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

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.

• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Mercy Health Physicians Lima, LLC

  • Family Medicine Physician
  • Lima, OH
  • NPI 1225292865
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433980800000",
    "number": "1144335654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 KING CHURCH AVE SW",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446855100",
            "telephone_number": "330-877-0781",
            "fax_number": "330-877-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 KING CHURCH AVE SW",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446855100",
            "telephone_number": "330-877-0781",
            "fax_number": "330-877-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELVIN",
        "first_name": "STACI",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2015-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28133158A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71002040A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA-111250NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3031847",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medical Service Company (Medical Service Companies)
• Katie Medina
• Maria Regina Mediros, OTR/L
• Erin Leigh Meffan, OD
• Nicholas Peter Mellion, DDS MS
• Angelia Mendak, B.A., M.ED., ED.S.
• Alyssa Merrill
• Lisa Messina
• Kay DS Metzler, LPCC, MFT
• Jessica Mewhinney, NP

• Family Nurse Practitioner in Uniontown, OH
• Providers in Uniontown, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.