Individual provider Active NPI

Melissa Kominek Williams, FNP

  • Family Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1336548866
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-132863 Issued in AL
Practice address
70 Midtown Park E
Mobile, AL 36606-4140
Phone
(251) 289-1786
Fax
(251) 544-6406
NPI assigned
Aug 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-132863 AL Primary

Addresses

Primary practice location

70 Midtown Park E
Mobile, AL 36606-4140

Mailing address

70 Midtown Park E
Mobile, AL 36606-4140
Phone (251) 289-1786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20150427001302 AL Practitioner - Nurse Practitioner 5193044089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aqua Dermatology of Alabama PCGroup PAC ID 9436211463, 42 clinicians

Practice addresses (Care Compare)

1940 Stonegate Dr
Vestavia HLS, AL 35242-2541

70 Midtown Park E
Mobile, AL 36606-4140
Phone (251) 289-1786

8832 US Hwy 90
Daphne, AL 36526-8932
Phone (251) 544-6411

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-132863ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aqua Dermatology of Alabama PC CurrentSince Nov 1, 2023 Accepting new patients
Cutaneous Oncology & Surgery Center, LLC Past Accepting new patients
Pulmonary Associates of Mobile PC Past Accepting new patients

Locations

1851 N McKenzie St
Ste 104
Foley, AL 36535
Phone (251) 424-1880

70 Midtown Park E
Mobile, AL 36606
Phone (251) 289-1786

1940 Stonegate Dr
Ste 140
Vestavia Hls, AL 35242
Phone (205) 968-3919

1940 Stonegate Dr
Ste 130
Vestavia Hls, AL 35242
Phone (205) 451-9481

Interoperability endpoints

  • Direct secure messaging: mwilliams@aldermatology.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1336548866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MIDTOWN PARK E",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064140",
            "telephone_number": "251-289-1786",
            "fax_number": "251-544-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MIDTOWN PARK E",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064140",
            "telephone_number": "251-289-1786",
            "fax_number": "251-544-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MELISSA",
        "middle_name": "KOMINEK",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-20",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-132863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.