Individual provider Active NPI

Melody Jean Evans, FNP-C

  • Family Nurse Practitioner
  • Salisbury, MD
National Provider Identifier
1174050447
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R177475 Issued in MD
Practice address
145 E Carroll St Ste 101102
Salisbury, MD 21801
Phone
(410) 912-5785
NPI assigned
May 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R177475 MD Primary

Addresses

Primary practice location

145 E Carroll St Ste 101102
Salisbury, MD 21801

Mailing address

100 E Carroll St
Salisbury, MD 21801-5422
Phone (800) 749-5191

Other practice location 1

30265 Commerce Dr Unit 206
Millsboro, DE 19966-3595
Phone (302) 732-8400

Other practice location 2

30668 Sussex Hwy
Laurel, DE 19956-4421
Phone (302) 875-6550

Other names 1

  • Ms. Melody Jean Higgs Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20170919000048 MD Practitioner - Nurse Practitioner 8123399136 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tidalhealth Specialty Care LLCGroup PAC ID 7113340845, 375 clinicians

Practice addresses (Care Compare)

100 E Carroll St
Salisbury, MD 21801-5422

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R177475MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Care Center LLC CurrentSince Oct 3, 2022 Accepting new patients
Privia Care Center LLC CurrentSince Oct 3, 2022 Accepting new patients
Tidalhealth Specialty Care, LLC CurrentSince Jan 27, 2024 Accepting new patients
Tidalhealth Specialty Care, LLC PastSince Sep 1, 2020 Accepting new patients

Locations

30265 Commerce Dr
Ste 207B
Millsboro, DE 19966
Phone (302) 732-8400

30265 Commerce Dr
Unit 206
Millsboro, DE 19966
Phone (302) 732-8400

801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178

301 Saint Paul St
Ste 409
Baltimore, MD 21202
Phone (410) 659-7041

400 Eastern Shore Dr
Salisbury, MD 21804
Phone (410) 543-2255

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

Organizations & group practices 6

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 1

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": "1494979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1174050447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CARROLL ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015422",
            "telephone_number": "800-749-5191",
            "fax_number": "800-749-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 E CARROLL ST STE 101102",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "21801",
            "telephone_number": "410-912-5785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30265 Commerce Dr Unit 206",
            "address_purpose": "LOCATION",
            "city": "Millsboro",
            "state": "DE",
            "postal_code": "199663595",
            "country_code": "US",
            "telephone_number": "302-732-8400",
            "fax_number": "302-934-6705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30668 Sussex Hwy",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "DE",
            "postal_code": "199564421",
            "country_code": "US",
            "telephone_number": "302-875-6550",
            "fax_number": "302-875-3130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "MELODY",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-17",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R177475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELODY",
            "last_name": "HIGGS",
            "middle_name": "JEAN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.