Nathanael Duane Mellum, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

838969 Issued in NV

Practice address

515 Court St Lowr Floor
Reno, NV 89501-1710

Phone

(775) 980-2022

Fax

(775) 980-2022

NPI assigned

Mar 11, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nate.mellum.p1@direct.rsthc.nextgenshare.com

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.

• Carson Tahoe Physician Clinics

  • Internal Medicine Physician
  • Carson City, NV
  • NPI 1023265717

  Single Specialty

  Medicare reassignment NPD
• Philip Malinas MD & Associates PLLC

  • Psychiatry Physician
  • Reno, NV
  • NPI 1194156208

  Single Specialty

  Medicare reassignment NPD
• Reno Sparks Indian Colony

  • Clinic/Center
  • Reno, NV
  • NPI 1497700801

  Single Specialty

  Medicare reassignment NPD
• CTH Physicians Clinic

  • Internal Medicine Physician
  • Carson City, NV
  • NPI 1306533732

  Single Specialty

  NPD

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1194300152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 COURT ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895011710",
            "telephone_number": "775-980-2022",
            "fax_number": "775-980-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 COURT ST LOWR FLOOR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895011710",
            "telephone_number": "775-980-2022",
            "fax_number": "775-980-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLUM",
        "first_name": "NATHANAEL",
        "middle_name": "DUANE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-11",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "838969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Joseph Melendrez, DDS
• Joshua Melia
• Melinda M Kuhn DMD PC
• Marcus William Mellberg
• Erika Marie Mellor, M.A.
• Stacy Eldon Mellum, M.D.
• Mayra Melo
• Amanda Lauren Melone, M.D.
• Andrew-Peter Drury Melone, M.D.
• Agnes T Melton, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Reno, NV
• Providers in Reno, NV by specialty
• Psychiatric/Mental Health Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.