Melissa J Renner, CNP

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

RN 238005 NP-08551 Issued in OH

Practice address

1045 Summitt SQ
Middletown, OH 45042-3464

Phone

(513) 727-1987

Fax

(513) 727-0918

NPI assigned

Dec 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Percy D Mitchell Jr M D and Associates LLCGroup PAC ID 9133226145, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Percy D Mitchell Jr M D & Associates LLC

  • Mental Health Counselor
  • Middletown, OH
  • NPI 1316099674
  Medicare reassignment Care Compare group NPD
• Converse Pmhnp

  • Psychiatric/Mental Health Nurse Practitioner
  • Centerville, OH
  • NPI 1902761075
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1316005002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 SUMMITT SQ",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450423464",
            "telephone_number": "513-727-1987",
            "fax_number": "513-727-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 SUMMITT SQ",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450423464",
            "telephone_number": "513-727-1987",
            "fax_number": "513-727-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNER",
        "first_name": "MELISSA",
        "middle_name": "J",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OH",
            "license": "RN 238005  NP-08551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rehabmed Atrium
• Carolyn Reif, NP
• Juan C Reina, M.D.
• Juan M Remirez, M.D.
• Jane Renkiewicz
• Amy Michelle Renshaw, M.D.
• Res-Care Ohio, Inc.
• Res-Care Ohio, Inc.
• Tricia Reyes, LSW
• Heidi Reynolds, MD

• Psychiatric/Mental Health Registered Nurse in Middletown, OH
• Providers in Middletown, OH by specialty
• Psychiatric/Mental Health Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.