Active NPI
Melanie Jean Egan
- Adult Health Nurse Practitioner
- Hollywood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN3026662
- Practice address
- 1150 N 35TH Ave
Suite 440
Hollywood, FL 33021-5424 - Phone
- (954) 265-6356
- Fax
- (954) 985-5154
- NPI assigned
- Aug 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | APRN3026662 | FL | Primary |
Addresses
Primary practice location
1150 N 35TH Ave
Suite 440
Hollywood, FL 33021-5424
Mailing address
2900 Corporate Way
Door D
Miramar, FL 33025-3925
Phone (954) 276-5685
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3077610500 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | megan13830@MHSDIRECT.NET | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1150 N 35TH Ave
Suite 440
Hollywood, FL 33021-5430
Phone (954) 265-6356
Hospital & facility affiliations
- Memorial Regional Hospital
- Memorial Hospital West
- Memorial Hospital Pembroke
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN3026662 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Broward Hospital District | Current | Accepting new patients | |
| South Broward Hospital District | Current | Accepting new patients | |
| South Broward Hospital District | Past | Accepting new patients |
Locations
1150 N 35th Ave
Ste 440
Hollywood, FL 33021
Phone (954) 265-6356
2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581
4651 Sheridan St
Ste 150
Pembroke Park, FL 33021
Phone (954) 265-6331
Interoperability endpoints
- megan13830@mhsdirect.net
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Hollywood, FL
- NPI 1538497086
-
- Home Infusion Therapy Pharmacy
- Miramar, FL
- NPI 1043656614
-
- Pediatric Orthopaedic Surgery Physician
- Hollywood, FL
- NPI 1407865520
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pembroke Pines, FL
- NPI 1063495836
-
- General Acute Care Hospital
- Pembroke Pines, FL
- NPI 1134102080
-
- General Acute Care Hospital
- Hollywood, FL
- NPI 1780667923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679270400000",
"number": "1265545339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 CORPORATE WAY",
"address_2": "DOOR D",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330253925",
"telephone_number": "954-276-5685",
"fax_number": "954-985-7074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 N 35TH AVE",
"address_2": "SUITE 440",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330215424",
"telephone_number": "954-265-6356",
"fax_number": "954-985-5154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGAN",
"first_name": "MELANIE",
"middle_name": "JEAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-16",
"last_updated": "2023-03-20",
"certification_date": "2023-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "APRN3026662",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3077610500",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "megan13830@MHSDIRECT.NET",
"affiliation": "N",
"endpointDescription": "MHS DSM",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1150 N 35th Ave",
"address_2": "Suite 440",
"city": "Hollywood",
"state": "FL",
"country_code": "US",
"postal_code": "330215424",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.