Individual provider Active NPI

Melody Olson D'Amelio, PHYSICIAN ASSISTANT

  • Physician Assistant
  • York, PA
National Provider Identifier
1174174452
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA065859 Issued in PA
Practice address
1920 Queenswood Dr Ste 200
York, PA 17403-4269
Phone
(717) 747-3566
NPI assigned
Sep 27, 2019
Last updated
Sep 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA60833836 WA
Physician Assistant 363A00000X MA065859 PA Primary

Addresses

Primary practice location

1920 Queenswood Dr Ste 200
York, PA 17403-4269

Mailing address

1920 Queenswood Dr Ste 200
York, PA 17403-4269

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20241009004576 PA Practitioner - Physician Assistant 9638500622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates of York PCGroup PAC ID 8123093002, 8 clinicians

Practice addresses (Care Compare)

1920 Queenswood Dr
York, PA 17403-4269
Phone (717) 747-3566

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.17 of 100Reported as group
Quality
72.57
Improvement activities
40
Cost
80.48

Merit-based Incentive Payment System (MIPS)

Final score
87.71 of 100Reported as group
Quality
75.92
Improvement activities
40
Cost
74.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA065859PAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: md'amelio@nephrologyyork.medentdirect.com

Organizations & group practices 1

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.

Hospital & facility affiliations 6

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": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1174174452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 QUEENSWOOD DR STE 200",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174034269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 QUEENSWOOD DR STE 200",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174034269",
            "telephone_number": "717-747-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON D'AMELIO",
        "first_name": "MELODY",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-27",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60833836",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA065859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.