Melodi Jo Albenze

Key facts

NPI

1174447775

Entity type

Individual (NPI type 1)

Primary specialty

Adult Health Nurse Practitioner 363LA2200X

License

SP035383 (PA)

Practice address

621 S Main St
Du Bois, PA 15801-1413

Phone

(814) 371-0600

NPI assigned

Aug 6, 2026

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

Other names

• Melodi Cervenec Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 6, 2026.

{
    "created_epoch": "1785974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1174447775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 123",
            "city": "SAINT PETERSBURG",
            "state": "PA",
            "postal_code": "160540123",
            "telephone_number": "724-967-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S MAIN ST",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011413",
            "telephone_number": "814-371-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBENZE",
        "first_name": "MELODI",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-06",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN683349",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP035383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELODI",
            "last_name": "CERVENEC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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All providers in Du Bois, PA · Adult Health Nurse Practitioner in Pennsylvania