Individual provider Active NPI

Melanie M Panchal, ACNP-BC

  • Acute Care Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1255571816
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP60145026 Issued in WA
Practice address
1145 Broadway
Seattle, WA 98122-4201
Phone
(206) 860-4500
NPI assigned
Feb 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 2009001031 IL
Acute Care Nurse Practitioner 363LA2100X AP60145026 WA Primary

Addresses

Primary practice location

1145 Broadway
Seattle, WA 98122-4201

Mailing address

11017 Bartlett Ave NE
Seattle, WA 98125-5828
Phone (630) 854-6563

Other practice location 1

1221 Madison St Ste 1220
Seattle, WA 98104-1356
Phone (206) 215-4250

Other practice location 2

751 NE Blakely Dr Ste 3020
Issaquah, WA 98029-6201
Phone (425) 313-5345

Other names 1

  • Melanie M Morgia Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mpanchal1042869@wm.providencedirect.org Direct
Direct Messaging Address mpanchal1042869@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20100819000240 WA Practitioner - Nurse Practitioner 6608933023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians

Practice addresses (Care Compare)

1221 Madison St
Suite 1220
Seattle, WA 98104-1356
Phone (206) 215-4250

5350 Tallman Ave NW
Suite 420
Seattle, WA 98107-5902
Phone (206) 781-6080

5350 Tallman Nwave
Suite 420
Seattle, WA 98107-5902
Phone (206) 781-6161

747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.1 of 100Reported as group
Quality
84.53
Promoting interoperability
100
Improvement activities
40
Cost
72.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009001031ILMDAcute Care Nurse Practitioner
AP60145026WAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services CurrentSince Jul 29, 2013 Accepting new patients
Lakeview Pulmonary & Sleep Consultants LTD Past Accepting new patients
Swedish Health Services Past Accepting new patients

Locations

751 NE Blakely Dr
Ste 3020
Issaquah, WA 98029
Phone (425) 313-5345

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

1221 Madison St
Ste 1220
Seattle, WA 98104
Phone (206) 215-4250

800 5th Ave
Ste 600
Seattle, WA 98104

5350 Tallman Ave NW
Ste 520
Seattle, WA 98107
Phone (206) 215-4250

Interoperability endpoints

  • Direct secure messaging: mpanchal1042869@wm.providencedirect.org

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": "1235347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1255571816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11017 BARTLETT AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981255828",
            "telephone_number": "630-854-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 BROADWAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224201",
            "telephone_number": "206-860-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 Madison St Ste 1220",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981041356",
            "country_code": "US",
            "telephone_number": "206-215-4250",
            "fax_number": "206-215-4252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "751 NE Blakely Dr Ste 3020",
            "address_purpose": "LOCATION",
            "city": "Issaquah",
            "state": "WA",
            "postal_code": "980296201",
            "country_code": "US",
            "telephone_number": "425-313-5345",
            "fax_number": "425-313-7176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANCHAL",
        "first_name": "MELANIE",
        "middle_name": "M",
        "credential": "ACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IL",
            "license": "2009001031",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WA",
            "license": "AP60145026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mpanchal1042869@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "751 NE Blakely Dr Ste 3020",
            "city": "Issaquah",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980296201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mpanchal1042869@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1221 Madison St Ste 1220",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981041356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "MORGIA",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.