NPIMap

Individual provider Active NPI

Melissa Anne Herbein, CRNP

  • Family Nurse Practitioner
  • Wyomissing, PA
National Provider Identifier
1225506298
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP019287 Issued in PA
Practice address
1320 Broadcasting Rd Ste 200
Wyomissing, PA 19610-3222
Phone
(610) 372-8995
Fax
(610) 921-1235
NPI assigned
Nov 8, 2018
Last updated
Aug 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP019287 PA
Family Nurse Practitioner 363LF0000X SP019287 PA Primary

Addresses

Primary practice location

1320 Broadcasting Rd Ste 200
Wyomissing, PA 19610-3222

Mailing address

516 W 4TH St
Birdsboro, PA 19508-2108
Phone (484) 638-2033

Other names 1

  • Melissa Anne Henry Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190109000976 PA Practitioner - Nurse Practitioner 1052657251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1320 Broadcasting Rd
Suite 200
Reading, PA 19610-3222
Phone (610) 372-8995

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.73 of 100Reported as group
Quality
79.68
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP019287PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Urologic Care of Berks Co PC CurrentSince Jan 10, 2020 Accepting new patients

Locations

1270 Broadcasting Rd
Wyomissing, PA 19610
Phone (610) 372-1140

1320 Broadcasting Rd
Ste 200
Wyomissing, PA 19610
Phone (610) 372-8995

Interoperability endpoints

  • Direct secure messaging: melissaherbein@cucbc.medalliesdirect.net

Organizations & group practices 1

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1225506298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 W 4TH ST",
            "city": "BIRDSBORO",
            "state": "PA",
            "postal_code": "195082108",
            "telephone_number": "484-638-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 BROADCASTING RD STE 200",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103222",
            "telephone_number": "610-372-8995",
            "fax_number": "610-921-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBEIN",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-08",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP019287",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP019287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "HENRY",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.