Melinda Marie Patricio, ANP
Individual provider Active NPI Nurse Practitioner · Dartmouth, MA
NPI 1194150367 · NPPES record last updated Feb 5, 2018
Key facts
- NPI
- 1194150367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RN277457 (MA)
- Practice address
- 535 Faunce Corner Rd
Dartmouth, MA 02747-1242 - Phone
- (508) 996-3991
- NPI assigned
- Sep 6, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Massachusetts Medical School, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southcoast Physicians Group Inc
Practice addresses (Care Compare)
101 Page St
New Bedford, MA 02740-3464
Phone (508) 973-5919
206 Mill Rd
Fairhaven, MA 02719-5208
Phone (508) 973-3000
208 Mill Rd
Fairhaven, MA 02719-5208
Phone (508) 758-3781
363 Highland Ave
Fall River, MA 02720-3703
Phone (508) 973-5919
534 Prospect St
Fall River, MA 02720-5281
Phone (508) 973-7766
Hospital & facility affiliations
- Southcoast Hospitals Group
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140225000036 | MA | Practitioner - Nurse Practitioner | 5193955862 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southcoast Hospitals Group Inc | Current |
Accepting new patients | |
| Southcoast Hospitals Group, Inc | Current |
Accepting new patients | |
| Southcoast Physicians Group, Inc. | Current |
Accepting new patients | |
| Southcoast Physicians Group, Inc. | Current |
Accepting new patients | |
| Southcoast Hospitals Group, Inc | Current | Accepting new patients |
Locations
534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766
363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052
1030 President Ave
Ste 3001
Fall River, MA 02720
Phone (508) 676-3411
874 Purchase St
New Bedford, MA 02740
Phone (508) 992-6553
535 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 961-0665
Interoperability endpoints
- mpatricio12999@direct.southcoast.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN277457 | MA | Yes |
Addresses
Primary practice location
535 Faunce Corner Rd
Dartmouth, MA 02747-1242
Mailing address
535 Faunce Corner Rd
Dartmouth, MA 02747-1242
Phone (508) 996-3991
Other providers in Dartmouth, MA
- Dorota Pajak
- Julia Palumbo
- Cynthia M. Paradise
- Sarah Saea Park
- Ami Sanjiv Patel
- Patterson Therapy
- Eshan Anant Patvardhan
- Hillary Elizabeth Pavao
- Marielle E Pedro
- Evelyn Pelland
All providers in Dartmouth, MA · Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.