Individual provider Active NPI

Martin Melson Jr., CRNP

  • Nurse Practitioner
  • Salisbury, MD
National Provider Identifier
1265978944
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R144368 Issued in MD
Practice address
100 E Carroll St
Salisbury, MD 21801
Phone
(410) 912-2867
NPI assigned
Jan 18, 2017
Last updated
Jul 31, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R144368 MD Primary
Family Nurse Practitioner 363LF0000X R144368 MD

Addresses

Primary practice location

100 E Carroll St
Salisbury, MD 21801

Mailing address

100 E Carroll St
Salisbury, MD 21801-5422
Phone (410) 912-2867

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 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
I20170406001906 MD Practitioner - Nurse Practitioner 2668771130 Reassigns benefits to 4 organizations
I20210413003027 DE Practitioner - Nurse Practitioner 2668771130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Care Center LLCGroup PAC ID 3274801139, 286 clinicians

Practice addresses (Care Compare)

110 Baughmans LN
Suite 140
Frederick, MD 21702-4649
Phone (240) 215-1138

1505 S Salisbury Blvd
Salisbury, MD 21801-7128
Phone (410) 936-5500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R144368MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Jan 22, 2024 Accepting new patients
Eastern Shore Primary Care & Wellness, LLC Family Current Accepting new patients
Menocal Medical Services PA Current Accepting new patients
Privia Care Center LLC CurrentSince Jun 6, 2022 Accepting new patients
Tidalhealth Peninsula Regional, Inc. Family CurrentSince Mar 20, 2017 Accepting new patients
Eastern Shore Primary Care & Wellness, LLC Family Current Accepting new patients
Tidalhealth Physician Network, Inc. CurrentSince Mar 1, 2021 Accepting new patients
Tidalhealth Specialty Care, LLC CurrentSince Sep 1, 2020 Accepting new patients
Privia Care Center LLC CurrentSince Jun 6, 2022 Accepting new patients
Privia Medical Group, LLC CurrentSince Jan 22, 2024 Accepting new patients
Tidalhealth Peninsula Regional, Inc. CurrentSince Mar 20, 2017 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

701 Middleford Rd
Seaford, DE 19973
Phone (302) 628-6344

801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

301 Saint Paul St
Ste 409
Baltimore, MD 21202
Phone (410) 659-7041

11105 Cathage Rd
Berlin, MD 21811
Phone (410) 641-9962

110 Baughmans Ln
Ste 140
Frederick, MD 21702
Phone (240) 215-1138

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

106 Milford St
Ste 201
Salisbury, MD 21804
Phone (410) 543-1616

145 E Carroll St
Salisbury, MD 21801
Phone (410) 546-6400

1505 S Salisbury Blvd
Salisbury, MD 21801
Phone (410) 742-8686

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: martin.melson.2@8042.direct.athenahealth.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 6

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": "1484697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1265978944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CARROLL ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015422",
            "telephone_number": "410-912-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E CARROLL ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "21801",
            "telephone_number": "410-912-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELSON",
        "first_name": "MARTIN",
        "name_suffix": "Jr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-18",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R144368",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R144368",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.