Individual provider Active NPI

Melissa Ann Joseph, APRN

  • Interventional Pain Medicine Physician
  • Tampa, FL
National Provider Identifier
1326783192
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
11017195 Issued in FL
Practice address
2727 W MLK Blvd Ste 520
Tampa, FL 33607-6000
Phone
(813) 538-7600
NPI assigned
May 4, 2022
Last updated
Nov 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11017195 FL
Interventional Pain Medicine Physician 208VP0014X 11017195 FL Primary

Addresses

Primary practice location

2727 W MLK Blvd Ste 520
Tampa, FL 33607-6000

Mailing address

5217 Fairway One Dr
Valrico, FL 33596-8234
Phone (813) 785-8170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220926001072 FL Practitioner - Nurse Practitioner 3375929581 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mobile Anesthesia Associates LLCGroup PAC ID 4183619828, 47 clinicians
Sports and Orthopedic Rehabilitation Services IncGroup PAC ID 0840104253, shared by 4 NPIs, 314 clinicians

Practice addresses (Care Compare)

325 Ave B NW
Winter Haven, FL 33881-4651
Phone (863) 291-4000

3411 S Dale Mabry Hwy
Suite a Select Physical Therapy
Tampa, FL 33629-8658
Phone (813) 742-9501

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11017195FLMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Anesthesia Associates LLC Interventional Pain Medicine CurrentSince Nov 1, 2024 Accepting new patients
Neil H Weisman MD PA CurrentSince Jul 19, 2022 Accepting new patients
Baptist Surgery and Endoscopy Centers LLC CurrentSince Nov 1, 2024 Accepting new patients
Jose R Prieto MD PA PastSince May 1, 2022 Accepting new patients

Locations

605 Medical Care Dr
Brandon, FL 33511
Phone (813) 681-6474

2727 W Mlk Blvd
Ste 520
Tampa, FL 33607
Phone (813) 538-7600

6637 Gunn Hwy
Tampa, FL 33625
Phone (813) 689-4114

325 Avenue B NW
Winter Haven, FL 33881
Phone (800) 364-9216

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5906/brand/1/csg/1/fhir/r4
  • Direct secure messaging: melissa.joseph.1@30104.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1326783192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5217 FAIRWAY ONE DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335968234",
            "telephone_number": "813-785-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W MLK BLVD STE 520",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076000",
            "telephone_number": "813-538-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-04",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "11017195",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "11017195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.