Individual provider Active NPI

Melissa Jayne Wright, FNP

  • Family Nurse Practitioner
  • Bethesda, MD
National Provider Identifier
1255660106
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
774483 Issued in TX
Practice address
8960 Brown Dr
Bethesda, MD 20889-5755
Phone
(301) 295-1136
NPI assigned
Dec 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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 774483 TX Primary

Addresses

Primary practice location

8960 Brown Dr
Bethesda, MD 20889-5755

Mailing address

236 W Garden St
Suite 4
Pensacola, FL 32502-5755
Phone (850) 469-0020

Other identifiers 2

IdentifierTypeStateIssuer
AP118472OtherTXTEXAS BOARD OF NURSING
774483OtherTXTEXAS BOARD OF NURSE EXAMINERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MD2 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
I20100122000632 TX Practitioner - Nurse Practitioner 5799827176 Reassigns benefits to 1 organization
I20260511002772 MD Practitioner - Nurse Practitioner 5799827176 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upperline Healthcare PCGroup PAC ID 4385900653, 194 clinicians

Practice addresses (Care Compare)

8015 Shoal Creek Blvd
Suite 119
Austin, TX 78757-8052
Phone (855) 669-7843

849 Fairmount Ave
Suite 200
Towson, MD 21286-2693
Phone (407) 219-5402

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
774483TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Associates of America-Texas, PLLC Family Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1255660106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 W GARDEN ST",
            "address_2": "SUITE 4",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025755",
            "telephone_number": "850-469-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8960 BROWN DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208895755",
            "telephone_number": "301-295-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "MELISSA",
        "middle_name": "JAYNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-23",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "774483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "AP118472",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSE EXAMINERS",
            "identifier": "774483",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.