Individual provider Active NPI

Melissa A Taylor, CRNP

  • Internal Medicine Physician
  • Fountainville, PA
National Provider Identifier
1295821692
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
UP006716C Issued in PA
Practice address
5039 Swamp Road
Suite 401
Fountainville, PA 18923
Phone
(215) 230-8380
Fax
(215) 230-8370
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X UP006716C PA Primary

Addresses

Primary practice location

5039 Swamp Road
Suite 401
Fountainville, PA 18923

Mailing address

5039 Swamp Road
Suite 401
Fountainville, PA 18923
Phone (215) 230-8380

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
I20040726000751 PA Practitioner - Nurse Practitioner 9739169087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tohickon Internal Medicine, LLCGroup PAC ID 0042492290, 7 clinicians

Practice addresses (Care Compare)

1456 Ferry Rd
Doylestown, PA 18901-2391
Phone (267) 880-6350

Hospital & facility affiliations

  • Doylestown Hospital Hospital, Doylestown, PA, CCN 390203
  • Pine Run Health Center Nursing home, Doylestown, PA, CCN 395366

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tohickon Internal Medicine Internal Medicine CurrentSince Feb 21, 2011 Accepting new patients

Locations

1456 Ferry Rd
Unit 400
Doylestown, PA 18901
Phone (267) 880-6350

Interoperability endpoints

  • Direct secure messaging: melissa.taylor@dhcp.eclinicaldirectplus.com

Organizations & group practices 1

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295821692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5039 SWAMP ROAD",
            "address_2": "SUITE 401",
            "city": "FOUNTAINVILLE",
            "state": "PA",
            "postal_code": "18923",
            "telephone_number": "215-230-8380",
            "fax_number": "215-230-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5039 SWAMP ROAD",
            "address_2": "SUITE 401",
            "city": "FOUNTAINVILLE",
            "state": "PA",
            "postal_code": "18923",
            "telephone_number": "215-230-8380",
            "fax_number": "215-230-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MELISSA",
        "middle_name": "A",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "UP006716C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountainville, PA

Sources for this page

Verify at the official NPI Registry.