Individual provider Active NPI

Sarah Marie Meleen, PA-C

  • Physician Assistant
  • Niceville, FL
National Provider Identifier
1235360389
Registry record updated Dec 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9109593 Issued in FL
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

Updated by the provider on Dec 16, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
52248CAMDOrthodontics and Dentofacial Orthopedic Dentist
PA9109593FLMDPhysician Assistant
0010-02451NCMDPhysician Assistant
0110003082VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Access Medical Group, Inc. CurrentSince Jun 2, 2019 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.

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.

Verify at the official NPI Registry.