Active NPI
Sarah Marie Meleen, PA-C
- Physician Assistant
- Niceville, FL
National Provider Identifier
1235360389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9109593
- Practice address
- 4400 E Highway 20
Niceville, FL 32578-8779 - Phone
- (850) 279-6520
- NPI assigned
- Aug 6, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110003082 | VA | |
| Physician Assistant | 363A00000X | 0010-02451 | NC | |
| Physician Assistant | 363A00000X | 52248 | CA | |
| Physician Assistant | 363A00000X | PA9109593 | FL | Primary |
Addresses
Primary practice location
4400 E Highway 20
Niceville, FL 32578-8779
Mailing address
7003 Canopy Creek CV
Niceville, FL 32578-1524
Phone (608) 322-5367
Other names 1
- Sarah M Wellnitz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52248 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| PA9109593 | FL | MD | Physician Assistant |
| 0010-02451 | NC | MD | Physician Assistant |
| 0110003082 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Medical Group, Inc. | Current | Accepting new patients |
Locations
4400 E Highway 20
Ste 203
Niceville, FL 32578
Phone (850) 897-1824
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Niceville, FL
- NPI 1508054594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481846400000",
"number": "1235360389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7003 CANOPY CREEK CV",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325781524",
"telephone_number": "608-322-5367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 E HIGHWAY 20",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325788779",
"telephone_number": "850-279-6520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELEEN",
"first_name": "SARAH",
"middle_name": "MARIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-06",
"last_updated": "2016-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110003082",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-02451",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "52248",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9109593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "WELLNITZ",
"middle_name": "M",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Niceville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.