Individual provider Active NPI

Melissa Lynn Byers, APRN

  • Gerontology Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1154712180
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
9218036 Issued in FL
Practice address
1230 Creighton Rd
Pensacola, FL 32504-7161
Phone
(850) 477-5586
NPI assigned
Feb 12, 2015
Last updated
Nov 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 9218036 FL Primary

Addresses

Primary practice location

1230 Creighton Rd
Pensacola, FL 32504-7161

Mailing address

1230 Creighton Rd
Pensacola, FL 32504-7161
Phone (850) 477-5586

Other names 1

  • Melissa Lynn Anderson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TN, GA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20191210001594 FL Practitioner - Nurse Practitioner 6709103146 Reassigns benefits to 1 organization
I20231009001812 TN Practitioner - Nurse Practitioner 6709103146 Reassigns benefits to 1 organization
I20250217000496 GA Practitioner - Nurse Practitioner 6709103146 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appalachian Hospice South LLCGroup PAC ID 2365897956, 5 clinicians
Pensacola Lung Group, M.D.'S, P.a.Group PAC ID 7517928062, 31 clinicians

Practice addresses (Care Compare)

Jasper, GA 30143
Phone (706) 253-4015

4700 Bayou Blvd
Suite 6
Pensacola, FL 32503-1901
Phone (850) 477-9253

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9218036FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC CurrentSince Aug 27, 2023 Accepting new patients
Appalachian Hospice South LLC CurrentSince Dec 10, 2024 Accepting new patients
Appalachian Dementia Care LLC CurrentSince Jun 16, 2026 Accepting new patients
Vitas Solutions Inc CurrentSince Feb 12, 2024 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Aug 27, 2023 Accepting new patients

Locations

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1230 Creighton Rd
Pensacola, FL 32504
Phone (850) 477-5586

377 Mountain Blvd S
Ste 102
Jasper, GA 30143
Phone (706) 253-4015

255 E 5th St
Ste 1050
Cincinnati, OH 45202

1609 Rosewood Dr
Columbia, TN 38401
Phone (615) 472-1855

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1154712180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 CREIGHTON RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325047161",
            "telephone_number": "850-477-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 CREIGHTON RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325047161",
            "telephone_number": "850-477-5586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYERS",
        "first_name": "MELISSA",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-12",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "9218036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "ANDERSON",
            "middle_name": "LYNN",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.