Individual provider Active NPI

Ellen M Melcher, CNP

  • Acute Care Nurse Practitioner
  • Rochester Hills, MI
National Provider Identifier
1245386275
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
4704195711 Issued in MI
Practice address
2494 S Rochester Rd
Rochester Hills, MI 48307-3817
Phone
(248) 299-9850
Fax
(248) 299-9860
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 4704195711 MI Primary

Addresses

Primary practice location

2494 S Rochester Rd
Rochester Hills, MI 48307-3817

Mailing address

2494 S Rochester Rd
Rochester Hills, MI 48307-3817
Phone (248) 299-9850

Other identifiers 4

IdentifierTypeStateIssuer
4704195711OtherMISTATE LICENSE
4704195711OtherMINURSE PRACTITIONER LICENSE #
5008673580OtherMIBCBS INDIVIDUAL PIN #
1245386275OtherMINPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20070308000417 MI Practitioner - Nurse Practitioner 1557464773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert L Marchese MD Diseases of the Lung PLLCGroup PAC ID 9436173010, 2 clinicians

Practice addresses (Care Compare)

25810 Kelly Rd
Suite 3
Roseville, MI 48066-4467
Phone (586) 541-8419

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.47 of 100Reported as group
Quality
87.67
Promoting interoperability
100
Improvement activities
40
Cost
65.45

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Robert L Marchese MD Diseases of the Lung PLLC CurrentSince May 2, 2011 Accepting new patients
Surgical Specialty Group LLC PastSince May 2, 2011 Accepting new patients
St Clair Specialty Physicians PC Past Accepting new patients
Michel Hanna MD PC Past Accepting new patients

Locations

468 Cadieux Rd
Grosse Pt Wds, MI 48230
Phone (313) 343-1000

25810 Kelly Rd
Ste 3
Roseville, MI 48066
Phone (586) 541-8419

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1245386275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2494 S ROCHESTER RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073817",
            "telephone_number": "248-299-9850",
            "fax_number": "248-299-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2494 S ROCHESTER RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073817",
            "telephone_number": "248-299-9850",
            "fax_number": "248-299-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELCHER",
        "first_name": "ELLEN",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704195711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4704195711",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LICENSE #",
            "identifier": "4704195711",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL PIN #",
            "identifier": "5008673580",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1245386275",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.