Individual provider Active NPI

Eduke Roline Melle

  • Psychiatric/Mental Health Nurse Practitioner
  • Washington, DC
National Provider Identifier
1174893101
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R229690 Issued in MD
Practice address
1301 Lenfant SQ SE
Washington, DC 20020-6724
Phone
(240) 898-6226
NPI assigned
Jan 6, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R229690 MD Primary
Home Health Aide 374U00000X
Case Manager/Care Coordinator 171M00000X
Home Health Registered Nurse 163WH0200X RN1046368 DC
Community/Behavioral Health Agency 251S00000X
Registered Nurse 163W00000X RN1046368 DC

Addresses

Primary practice location

1301 Lenfant SQ SE
Washington, DC 20020-6724

Mailing address

1301 Lenfant SQ SE
Washington, DC 20020-6724
Phone (240) 898-6226

Other practice location 1

3905 Ellis St
Capitol Heights, MD 20743-5752
Phone (240) 898-6226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20260313004253 DC Practitioner - Nurse Practitioner 0840783320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1300 I St NW
Washington, DC 20005-3314

15617 Norus St
Upper Marlboro, MD 20772-8254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN1046368DCMDHome Health Registered Nurse
R229690MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ronest Mindspring Psychiatry and Wellness Clinic LLC Psychiatric/Mental Health CurrentSince Dec 9, 2025 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1174893101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 LENFANT SQ SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200206724",
            "telephone_number": "240-898-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 LENFANT SQ SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200206724",
            "telephone_number": "240-898-6226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3905 Ellis St",
            "address_purpose": "LOCATION",
            "city": "Capitol Heights",
            "state": "MD",
            "postal_code": "207435752",
            "country_code": "US",
            "telephone_number": "240-898-6226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELLE",
        "first_name": "EDUKE",
        "middle_name": "ROLINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-06",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R229690",
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "DC",
            "license": "RN1046368",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1046368",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.