Individual provider Active NPI

Melina Charrell Brewer, CRNP

  • Nurse Practitioner
  • Annville, PA
National Provider Identifier
1275170474
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP021251 Issued in PA
Practice address
742 East Main Street
Annville, PA 17003
Phone
(717) 868-2423
Fax
(717) 674-6148
NPI assigned
Dec 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X RN661708 PA
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X SP021251 PA Primary

Addresses

Primary practice location

742 East Main Street
Annville, PA 17003

Mailing address

742 East Main Street
Annville, PA 17003
Phone (717) 868-2423

Other practice location 1

4830 Londonderry Rd
Harrisburg, PA 17109-5207
Phone (717) 657-2595

Other identifiers 2

IdentifierTypeStateIssuer
1037434230001MedicaidPA
942325OtherPAMEDICARE

Other names 1

  • Melina Webb Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address melinabrewercrnp@fpc.medentdirect.com FAMILY PRACTICE CENTER, PC
Direct Messaging Address melinabrewercrnp@fpc.medentdirect.com FAMILY PRACTICE CENTER, PC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20200306001498 PA Practitioner - Nurse Practitioner 9133557044 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

742 E Main St
Annville, PA 17003-1602

855 Tuck St
Suite 4
Lebanon, PA 17042-7214
Phone (717) 868-2423

Hospital & facility affiliations

  • Wellspan Good Samaritan Hospital Hospital, Lebanon, PA, CCN 390066
  • Milton S Hershey Medical Center Hospital, Hershey, PA, CCN 390256

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN661708PAMDRegistered Nurse
SP021251PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brewer Family Wellness PC Multi-Specialty CurrentSince Mar 1, 2024 Accepting new patients

Locations

742 E Main St
Annville, PA 17003
Phone (717) 867-4000

855 Tuck St
Ste 4
Lebanon, PA 17042
Phone (717) 868-2423

855 Tuck St
Lebanon, PA 17042
Phone (717) 270-1804

Interoperability endpoints

  • Direct secure messaging: melinabrewercrnp@fpc.medentdirect.com
  • Direct secure messaging: brewerfamilywellness.melinabrewer@157823.advancedmd-direct.com

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.

Hospital & facility affiliations 4

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": "1575590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1275170474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 EAST MAIN STREET",
            "city": "ANNVILLE",
            "state": "PA",
            "postal_code": "17003",
            "telephone_number": "717-868-2423",
            "fax_number": "717-674-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 EAST MAIN STREET",
            "city": "ANNVILLE",
            "state": "PA",
            "postal_code": "17003",
            "telephone_number": "717-868-2423",
            "fax_number": "717-674-6148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4830 Londonderry Rd",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171095207",
            "country_code": "US",
            "telephone_number": "717-657-2595",
            "fax_number": "717-657-3091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREWER",
        "first_name": "MELINA",
        "middle_name": "CHARRELL",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-06",
        "last_updated": "2025-01-27",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN661708",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP021251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1037434230001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "942325",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melinabrewercrnp@fpc.medentdirect.com",
            "affiliation": "Y",
            "affiliationName": "FAMILY PRACTICE CENTER, PC",
            "address_1": "225 N Front St",
            "city": "Steelton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171132240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melinabrewercrnp@fpc.medentdirect.com",
            "affiliation": "Y",
            "affiliationName": "FAMILY PRACTICE CENTER, PC",
            "address_1": "4830 Londonderry Rd",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171095207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MELINA",
            "last_name": "WEBB",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Annville, PA

Sources for this page

Verify at the official NPI Registry.