Active NPI
Melida Delcina Knibbs, FNP-BC
- Family Nurse Practitioner
- New York, NY
National Provider Identifier
1154518280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 380894-1
- Practice address
- 521 W 181St St
New York, NY 10033-5102 - Phone
- (347) 756-6000
- NPI assigned
- Oct 2, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 380894-1 | NY | Primary |
Addresses
Primary practice location
521 W 181St St
New York, NY 10033-5102
Mailing address
521 West 181 Street
New York, NY 10033-8779
Phone (347) 756-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
325 Audubon Ave
New York, NY 10033-4204
521 W 181St St
New York, NY 10033-5102
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 380894-1 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audubon Primary Care Medicine PLLC | Current | Accepting new patients | |
| 181St Street Medical P.C. | Current | Accepting new patients | |
| Heritage Health and Housing, Inc | Past | Accepting new patients |
Locations
521 W 181st St
New York, NY 10033
Phone (347) 756-6000
325 Audubon Ave
New York, NY 10033
Phone (718) 664-7679
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- melida.knibbs@cgm.eclinicaldirectplus.com
Organizations & group practices 4
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
- New York, NY
- NPI 1851736441
-
- Urgent Care Clinic/Center
- New York, NY
- NPI 1922345768
-
- Primary Care Clinic/Center
- Bronx, NY
- NPI 1902120025
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1851414965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408060800000",
"number": "1154518280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 WEST 181 STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100338779",
"telephone_number": "347-756-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 W 181ST ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100335102",
"telephone_number": "347-756-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIBBS",
"first_name": "MELIDA",
"middle_name": "DELCINA",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-02",
"last_updated": "2014-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "380894-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; 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.