Active NPI
Melissa Barbara Allen, NP
- Adult Health Nurse Practitioner
- Berkeley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- RN 543489
- Practice address
- 3260 Sacramento St
Berkeley, CA 94702-2739 - Phone
- (510) 601-6060
- Fax
- (510) 553-2166
- NPI assigned
- Jan 28, 2006
- Last updated
- Mar 16, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 10100 | CA | |
| Adult Health Nurse Practitioner | 363LA2200X | RN 543489 | CA | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | RN543489 | CA | |
| Gerontology Nurse Practitioner | 363LG0600X | 10100 | CA |
Addresses
Primary practice location
3260 Sacramento St
Berkeley, CA 94702-2739
Mailing address
3260 Sacramento St
Berkeley, CA 94702-2739
Phone (510) 601-6060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3260 Sacramento St
Berkeley, CA 94702-2739
Phone (510) 428-4500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 543489 | CA | MD | Adult Health Nurse Practitioner |
| RN543489 | CA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifelong Medical Care | Current | Accepting new patients | |
| Lifelong Medical Care | Current | Accepting new patients |
Locations
2344 6th St
Berkeley, CA 94710
Phone (510) 981-3203
3260 Sacramento St
Berkeley, CA 94702
Phone (510) 428-4500
10700 MacArthur Blvd
Ste 14B
Oakland, CA 94605
Phone (510) 563-4300
Interoperability endpoints
- mallen280406@direct.ochin.org
- melissa.allen.1@14789.direct.athenahealth.com
Organizations & group practices 2
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.
-
dba Over Sixty Health Center
- Geriatric Medicine (Family Medicine) Physician
- Berkeley, CA
- NPI 1689670002
-
- Family Medicine Physician
- Rodeo, CA
- NPI 1003289463
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- San Leandro, CA
- NPI 1457617359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584316800000",
"number": "1225009319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3260 SACRAMENTO ST",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947022739",
"telephone_number": "510-601-6060",
"fax_number": "510-553-2166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3260 SACRAMENTO ST",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947022739",
"telephone_number": "510-601-6060",
"fax_number": "510-553-2166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "MELISSA",
"middle_name": "BARBARA",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-28",
"last_updated": "2020-03-16",
"certification_date": "2020-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "10100",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "RN 543489",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CA",
"license": "RN543489",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CA",
"license": "10100",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.