Individual provider Active NPI

Melinda Ledbetter, APA-C

  • Physician Assistant
  • Presque Isle, ME
National Provider Identifier
1215913249
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9103408 Issued in FL
Practice address
23 North St
Presque Isle, ME 04769-2291
Phone
(207) 768-4568
Fax
(207) 764-6459
NPI assigned
Dec 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9103408 FL Primary

Addresses

Primary practice location

23 North St
Presque Isle, ME 04769-2291

Mailing address

23 North St
Presque Isle, ME 04769-2291
Phone (207) 768-4568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, CA, FL, PA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20050712001189 AL Practitioner - Physician Assistant 9537195466 Reassigns benefits to 1 organization
I20100601000789 CA Practitioner - Physician Assistant 9537195466 Reassigns benefits to 1 organization
I20110811000820 FL Practitioner - Physician Assistant 9537195466 Reassigns benefits to 1 organization
I20250115000546 PA Practitioner - Physician Assistant 9537195466 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
63387CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Houston County Healthcare Authority Physician Assistant CurrentSince Aug 1, 2021 Accepting new patients
Geisinger Clinic CurrentSince Jan 20, 2025 Accepting new patients
Geisinger Clinic CurrentSince Jan 20, 2025 Accepting new patients
Providence Medical Foundation CurrentSince Feb 1, 2024 Accepting new patients
Geisinger-HM Joint Venture, LLC Physician Assistant CurrentSince Jan 20, 2025 Accepting new patients
Vale of Paradise Emergency Physicians, LLC Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients
Geisinger Bloomsburg Hospital Past Accepting new patients
Geisinger Clinic Past Accepting new patients
Providence Medical Foundation Past Accepting new patients

Locations

1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635

200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841

2700 Dolbeer St
Eureka, CA 95501
Phone (707) 269-4229

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

549 Fair St
Bloomsburg, PA 17815
Phone (570) 387-2100

4200 Hospital Rd
Coal Township, PA 17866
Phone (570) 644-4200

100 N Academy Ave
Danville, PA 17822

1020 Thompson St
Jersey Shore, PA 17740
Phone (570) 398-0100

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

255 Route 220 Hwy
Muncy, PA 17756
Phone (570) 308-2600

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429488000000",
    "number": "1215913249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 NORTH ST",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047692291",
            "telephone_number": "207-768-4568",
            "fax_number": "207-764-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 NORTH ST",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047692291",
            "telephone_number": "207-768-4568",
            "fax_number": "207-764-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDBETTER",
        "first_name": "MELINDA",
        "name_prefix": "Ms.",
        "credential": "APA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-21",
        "last_updated": "2015-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9103408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Presque Isle, ME

Sources for this page

Verify at the official NPI Registry.