Individual provider Active NPI

Melinda Olivencia-Lozada

  • Women's Health Nurse Practitioner
  • West Grove, PA
National Provider Identifier
1215306964
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
9322861 Issued in FL
Practice address
105 Vineyard Way Ste 200
West Grove, PA 19390-8849
Phone
(610) 444-7550
NPI assigned
Sep 23, 2015
Last updated
Dec 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 9322861 FL Primary

Addresses

Primary practice location

105 Vineyard Way Ste 200
West Grove, PA 19390-8849

Mailing address

731 W Cypress St
Kennett Square, PA 19348-2419
Phone (610) 444-7550

Other practice location 1

1805 Hobbs Rd
Auburndale, FL 33823-4644
Phone (863) 965-5400

Other practice location 2

3241 Lakeland Hills Blvd
Lakeland, FL 33805-2266
Phone (863) 413-2620

Other identifiers 1

IdentifierTypeStateIssuer
110601100MedicaidFL

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
I20250205000114 PA Practitioner - Nurse Practitioner 4688942535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

105 Vineyard Way
Suite 200
West Grove, PA 19390-8849
Phone 6104447550260

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9322861FLMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
LCH Health and Community Services CurrentSince Nov 28, 2024 Accepting new patients
LCH Health and Community Services CurrentSince Nov 28, 2024 Accepting new patients
LCH Health and Community Services Past Accepting new patients

Locations

731 W Cypress St
Kennett Square, PA 19348
Phone (610) 444-7550

14 S 3rd St
Oxford, PA 19363
Phone (610) 444-7550

105 Vineyard Way
Ste 200
West Grove, PA 19390
Phone (610) 345-0020

Interoperability endpoints

  • Direct secure messaging: melinda.olivencia-lozada.1@27280.direct.athenahealth.com

Organizations & group practices 3

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 1

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": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1215306964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 W CYPRESS ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193482419",
            "telephone_number": "610-444-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 VINEYARD WAY STE 200",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193908849",
            "telephone_number": "610-444-7550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1805 Hobbs Rd",
            "address_purpose": "LOCATION",
            "city": "Auburndale",
            "state": "FL",
            "postal_code": "338234644",
            "country_code": "US",
            "telephone_number": "863-965-5400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3241 Lakeland Hills Blvd",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338052266",
            "country_code": "US",
            "telephone_number": "863-413-2620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVENCIA-LOZADA",
        "first_name": "MELINDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-23",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "9322861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110601100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Grove, PA

Sources for this page

Verify at the official NPI Registry.