Individual provider Active NPI

Melissa Rosengrant, FNP

  • Family Nurse Practitioner
  • Easton, PA
National Provider Identifier
1245008283
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP028860 Issued in PA
Practice address
4807 Freemansburg Ave Ste 100
Easton, PA 18045-5522
Phone
(484) 591-7620
NPI assigned
Dec 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP028860 PA Primary

Addresses

Primary practice location

4807 Freemansburg Ave Ste 100
Easton, PA 18045-5522

Mailing address

2100 Mack Blvd FL 4
Allentown, PA 18103-5622
Phone (484) 884-4500

Other names 1

  • Melissa Kruger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240319002494 PA Practitioner - Nurse Practitioner 6800233453 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Mar 1, 2024 Accepting new patients
Lehigh Valley Physician Group CurrentSince Mar 1, 2024 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

1611 Pond Rd
Ste 400
Allentown, PA 18104
Phone (610) 395-4300

2100 Mack Blvd
Fl 4
Allentown, PA 18103

4807 Freemansburg Ave
Ste 100
Easton, PA 18045
Phone (484) 591-7620

1107 Grosser Rd
Fl 3
Gilbertsville, PA 19525
Phone (610) 402-3560

564 W Broad St
Hazleton, PA 18201
Phone (570) 501-6220

237 S Mountain Blvd
Ste 7
Mountain Top, PA 18707
Phone (570) 261-5000

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

Organizations & group practices 5

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": "1702944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1245008283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MACK BLVD FL 4",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035622",
            "telephone_number": "484-884-4500",
            "fax_number": "484-884-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 FREEMANSBURG AVE STE 100",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455522",
            "telephone_number": "484-591-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENGRANT",
        "first_name": "MELISSA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP028860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "KRUGER",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.