Individual provider Active NPI

Melissa Anne Youtz, CRNP

  • Family Nurse Practitioner
  • Berlin, MD
National Provider Identifier
1275919540
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R236410 Issued in MD
Practice address
11042 Nicholas LN
Suite B102
Berlin, MD 21811-3333
Phone
(443) 513-4305
Fax
(443) 513-4297
NPI assigned
Aug 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LG-0011802 DE
Family Nurse Practitioner 363LF0000X SP015170 PA
Family Nurse Practitioner 363LF0000X R236410 MD Primary

Addresses

Primary practice location

11042 Nicholas LN
Suite B102
Berlin, MD 21811-3333

Mailing address

11042 Nicholas LN
Suite B102
Berlin, MD 21811-3333
Phone (443) 513-4305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD, DE3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20151109000389 PA Practitioner - Nurse Practitioner 2769792407
I20190329000722 MD Practitioner - Nurse Practitioner 2769792407 Reassigns benefits to 2 organizations
I20220807000047 DE Practitioner - Nurse Practitioner 2769792407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10349 Friendship Rd
Berlin, MD 21811-3148

11042 Nicholas Lane
Suite B 102
Berlin, MD 21811-3333

11042 Nicholas LN
Suite B102
Berlin, MD 21811-3333

Hospital & facility affiliations

  • Atlantic General Hospital Hospital, Berlin, MD, CCN 210061

Merit-based Incentive Payment System (MIPS)

Final score
96.26 of 100Reported as group
Quality
91.08
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shoreline Wellness and Primary Care LLC CurrentSince Apr 10, 2023 Accepting new patients
Emergency Service Associates PA CurrentSince May 1, 2019 Accepting new patients
Vero Health and Wellness Family Current Accepting new patients

Locations

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

314 Franklin Ave
Ste 301
Berlin, MD 21811
Phone (410) 513-4046

11042 Nicholas Ln
Ste B102
Berlin, MD 21811
Phone (410) 641-6800

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

Interoperability endpoints

  • Direct secure messaging: melissayoutz@agh.allscriptsdirect.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.

Hospital & facility affiliations 1

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": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1275919540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11042 NICHOLAS LN",
            "address_2": "SUITE B102",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218113333",
            "telephone_number": "443-513-4305",
            "fax_number": "443-513-4297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11042 NICHOLAS LN",
            "address_2": "SUITE B102",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218113333",
            "telephone_number": "443-513-4305",
            "fax_number": "443-513-4297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUTZ",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-10",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0011802",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015170",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R236410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, MD

Sources for this page

Verify at the official NPI Registry.