Individual provider Active NPI

Melissa Beatrice Barrera

  • Psychiatric/Mental Health Nurse Practitioner
  • Delray Beach, FL
National Provider Identifier
1336780543
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11004693 Issued in FL
Practice address
403 SE 1St St
Delray Beach, FL 33483-4540
Phone
(561) 332-1176
Fax
(561) 266-0033
NPI assigned
Sep 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11004693 FL Primary

Addresses

Primary practice location

403 SE 1St St
Delray Beach, FL 33483-4540

Mailing address

403 SE 1St St
Delray Beach, FL 33483-4540
Phone (561) 332-1176

Other identifiers 2

IdentifierTypeStateIssuer
APRN11004693OtherFLSTATE LICENSE
RN9410683OtherFLSTATE LICENSE

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
I20191217001490 FL Practitioner - Nurse Practitioner 3274967740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Raul J Rodriguez MdpaGroup PAC ID 0042477564, 20 clinicians

Practice addresses (Care Compare)

403 SE 1St St
Delray Beach, FL 33483-4540
Phone (561) 266-8866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Raul J Rodriguez Mdpa CurrentSince Oct 1, 2019 Accepting new patients

Locations

403 SE 1st St
Delray Beach, FL 33483
Phone (561) 266-8866

12443 San Jose Blvd
Ste 604
Jacksonville, FL 32223
Phone (561) 266-8866

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.

NPI Registry JSON

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1336780543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 SE 1ST ST",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334834540",
            "telephone_number": "561-332-1176",
            "fax_number": "561-266-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 SE 1ST ST",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334834540",
            "telephone_number": "561-332-1176",
            "fax_number": "561-266-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRERA",
        "first_name": "MELISSA",
        "middle_name": "BEATRICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11004693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "APRN11004693",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "RN9410683",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.