Individual provider Active NPI

Melissa Mercedes Rice, PA-C

  • Physician Assistant
  • Fort Myers, FL
National Provider Identifier
1245824176
Registry record updated Jul 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9114072 Issued in FL
Practice address
12651 McGregor Blvd Ste 301
Fort Myers, FL 33919-4488
Phone
(239) 314-3223
Fax
(239) 400-4240
NPI assigned
Feb 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9114072 FL Primary

Addresses

Primary practice location

12651 McGregor Blvd Ste 301
Fort Myers, FL 33919-4488

Mailing address

12651 McGregor Blvd Ste 301
Fort Myers, FL 33919-4488
Phone (239) 343-3223

Other identifiers 1

IdentifierTypeStateIssuer
109647700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210309001517 FL Practitioner - Physician Assistant 7911313457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mentus Behavioral Health LLCGroup PAC ID 0143602110, 5 clinicians

Practice addresses (Care Compare)

12651 McGregor Blvd
Suite 301
Fort Myers, FL 33919-4488
Phone (239) 314-3223

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9114072FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Healthcare Group LLC PastSince Sep 23, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mrice260061@direct.leememorial.org

Organizations & group practices 2

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": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721520000000",
    "number": "1245824176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12651 MCGREGOR BLVD STE 301",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339194488",
            "telephone_number": "239-343-3223",
            "fax_number": "239-340-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12651 MCGREGOR BLVD STE 301",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339194488",
            "telephone_number": "239-314-3223",
            "fax_number": "239-400-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICE",
        "first_name": "MELISSA",
        "middle_name": "MERCEDES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2024-07-21",
        "certification_date": "2024-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9114072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109647700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.