Individual provider Active NPI

Melanie Marie Stolte, APN

  • Gerontology Nurse Practitioner
  • Houston, TX
National Provider Identifier
1255996997
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP141369 Issued in TX
Practice address
550 Westcott St Ste 520
Houston, TX 77007-9001
Phone
(713) 864-6694
Fax
(713) 864-6698
NPI assigned
May 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP141369 TX
Gerontology Nurse Practitioner 363LG0600X AP141369 TX Primary

Addresses

Primary practice location

550 Westcott St Ste 520
Houston, TX 77007-9001

Mailing address

550 Westcott St Ste 520
Houston, TX 77007-9001
Phone (713) 864-6694

Other names 1

  • Melanie Marie Nichols Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190809001507 TX Practitioner - Nurse Practitioner 0042547283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beacon Behavioral of Texas PAGroup PAC ID 3678626256, 55 clinicians

Practice addresses (Care Compare)

550 Westcott St
Suite 520
Houston, TX 77007-9001
Phone (713) 864-6694

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP141369TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Behavioral of Texas PA CurrentSince Oct 16, 2024 Accepting new patients
My Personal Health LLC Gerontology Current Accepting new patients

Locations

550 Westcott St
Ste 520
Houston, TX 77007
Phone (713) 864-6694

550 Westcott St
Houston, TX 77007
Phone (713) 864-6694

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": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1255996997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 WESTCOTT ST STE 520",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770079001",
            "telephone_number": "713-864-6694",
            "fax_number": "713-864-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 WESTCOTT ST STE 520",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770079001",
            "telephone_number": "713-864-6694",
            "fax_number": "713-864-6698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLTE",
        "first_name": "MELANIE",
        "middle_name": "MARIE",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP141369",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP141369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "NICHOLS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.