Individual provider Active NPI

Melanie Anderson, PA-C

  • Physician Assistant
  • Columbus, OH
National Provider Identifier
1245760891
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.010186RX Issued in OH
Practice address
700 Childrens Dr
Columbus, OH 43205-2664
Phone
(614) 722-6200
Fax
(614) 355-1394
NPI assigned
Jun 15, 2017
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363AS0400X IL
Physician Assistant 363A00000X 50.010186RX OH Primary

Addresses

Primary practice location

700 Childrens Dr
Columbus, OH 43205-2664

Mailing address

700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-2000

Other practice location 1

4363 All Seasons Dr
Hilliard, OH 43026-2050
Phone (614) 722-6200

Other practice location 2

536 S Trimble Rd
Mansfield, OH 44906-3418
Phone (614) 722-6200

Other practice location 3

5680 Venture Dr
Dublin, OH 43017-2190
Phone (614) 722-6200

Other practice location 4

584 County Line Rd W
Westerville, OH 43082-7295
Phone (614) 722-6200

Other practice location 5

455 Executive Campus Dr
Westerville, OH 43082-8870
Phone (614) 722-6200

Other practice location 6

2850 S Wabash Ave
Chicago, IL 60616-2955
Phone (312) 842-4600

Other practice location 7

555 S 18th St
Columbus, OH 43205-2654
Phone (614) 722-6200

Other practice location 8

6435 E Broad St
Columbus, OH 43213-1507
Phone (614) 722-6200

Other practice location 9

150 W Main St
New Albany, OH 43054-9229
Phone (614) 722-6200

Other practice location 10

7901 Diley Rd
Canal Winchester, OH 43110-9612
Phone (614) 722-6200

Other practice location 11

405 Butterfly Gardens Dr
Columbus, OH 43215-4985
Phone (614) 722-6200

Other identifiers 2

IdentifierTypeStateIssuer
0183720MedicaidOH
085.006251OtherILILLINOIS LICENSE

Other names 1

  • Melanie Coderre Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170810002780 IL Practitioner - Physician Assistant 3779854633 Reassigns benefits to 2 organizations
I20260610001855 OH Practitioner - Physician Assistant 3779854633 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

700 Childrens Dr
Columbus, OH 43205-2639

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.010186RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedics & Rheumatology of the North Shore SC PastSince Nov 17, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mcoderre251193@direct.myadvocateaurora.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1245760891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CHILDRENS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052664",
            "telephone_number": "614-722-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CHILDRENS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052664",
            "telephone_number": "614-722-6200",
            "fax_number": "614-355-1394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4363 All Seasons Dr",
            "address_purpose": "LOCATION",
            "city": "Hilliard",
            "state": "OH",
            "postal_code": "430262050",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-355-1394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "536 S Trimble Rd",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "OH",
            "postal_code": "449063418",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-355-1394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5680 Venture Dr",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430172190",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-355-1394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "584 County Line Rd W",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430827295",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-355-1394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 Executive Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430828870",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-355-1394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2850 S Wabash Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606162955",
            "country_code": "US",
            "telephone_number": "312-842-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 S 18th St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432052654",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-355-1394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6435 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432131507",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-355-1394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 W Main St",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "OH",
            "postal_code": "430549229",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-355-1394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7901 Diley Rd",
            "address_purpose": "LOCATION",
            "city": "Canal Winchester",
            "state": "OH",
            "postal_code": "431109612",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-355-1394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 Butterfly Gardens Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432154985",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-355-1394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MELANIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.010186RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0183720",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS LICENSE",
            "identifier": "085.006251",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "CODERRE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.