Individual provider Active NPI

Melinda F Miller, MSN, CRNP

  • Family Nurse Practitioner
  • Chestertown, MD
National Provider Identifier
1255530580
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R085034 Issued in MD
Practice address
501 E Campus Ave
Heron Point of Chestertown Wellness Center
Chestertown, MD 21620-1696
Phone
(410) 778-7300
Fax
(410) 810-2731
NPI assigned
Jul 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

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 R085034 MD Primary

Addresses

Primary practice location

501 E Campus Ave
Heron Point of Chestertown Wellness Center
Chestertown, MD 21620-1696

Mailing address

501 East Campus Ave.
Heron Point of Chestertown Wellness Center
Chestertown, MD 21620
Phone (410) 778-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20161011001187 MD Practitioner - Nurse Practitioner 2365517745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

501 E Campus Ave
Primary Care Services at Heron Point
Chestertown, MD 21620-1696
Phone (410) 822-8888

Hospital & facility affiliations

  • University of MD Shore Medical Ctr at Chestertown Hospital, Chestertown, MD, CCN 210030
  • Willow Brooke CT Skilled Care Ctr at Heron Point Nursing home, Chestertown, MD, CCN 215235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R085034MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acts Communities of Maryland, Inc. CurrentSince Dec 31, 2022 Accepting new patients
Acts Communities of Maryland, Inc. CurrentSince Dec 31, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

501 E Campus Ave
Chestertown, MD 21620
Phone (410) 778-7300

7200 Third Ave
Sykesville, MD 21784
Phone (410) 795-8800

420 Delaware Dr
Ft Washington, PA 19034
Phone (215) 661-8330

Interoperability endpoints

  • Direct secure messaging: melinda.miller.p1@direct.actslife.nextgenshare.com

Organizations & group practices 3

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": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1255530580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 EAST CAMPUS AVE.",
            "address_2": "HERON POINT OF CHESTERTOWN WELLNESS CENTER",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "21620",
            "telephone_number": "410-778-7300",
            "fax_number": "410-810-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E CAMPUS AVE",
            "address_2": "HERON POINT OF CHESTERTOWN WELLNESS CENTER",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201696",
            "telephone_number": "410-778-7300",
            "fax_number": "410-810-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MELINDA",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "MSN, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R085034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestertown, MD

Sources for this page

Verify at the official NPI Registry.