Individual provider Active NPI

Melanie Ogburn, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisa, VA
National Provider Identifier
1336858166
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
114901 Issued in WV
Practice address
410 Industrial Dr
Louisa, VA 23093-4187
Phone
(540) 967-9401
Fax
(855) 532-6831
NPI assigned
Nov 21, 2022
Last updated
Dec 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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 114901 WV Primary

Addresses

Primary practice location

410 Industrial Dr
Louisa, VA 23093-4187

Mailing address

440 Monticello Ave
Ste 1802 PMB 715264
Norfolk, VA 23510-1146
Phone (540) 209-9778

Other practice location 1

12801 Plantation Dr
Spotsylvania, VA 22551-8041
Phone (540) 209-9778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20250331001760 VA Practitioner - Nurse Practitioner 3678945482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

115 Jefferson Hwy
Louisa, VA 23093-6563
Phone (540) 967-9401

165 Legrande Ave
Charlotte Court House, VA 23923-3747
Phone (434) 542-5560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Virginia Health Services Inc CurrentSince Jan 19, 2025 Accepting new patients
Central Virginia Health Services Inc Current Accepting new patients
Safe Haven Mental Health LLC CurrentSince Jan 5, 2025 Accepting new patients
Central Virginia Health Services Inc CurrentSince Jan 19, 2025 Accepting new patients
Shenandoah Valley Medical System, Inc. Past Accepting new patients
Shenandoah Valley Medical System, Inc. Past Accepting new patients

Locations

410 Industrial Dr
Louisa, VA 23093
Phone (540) 967-9401

25892 N James Madison Hwy
New Canton, VA 23123
Phone (434) 581-3271

440 Monticello Ave
Ste 1802
Norfolk, VA 23510
Phone (757) 656-9281

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1336858166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 MONTICELLO AVE",
            "address_2": "STE 1802 PMB 715264",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101146",
            "telephone_number": "540-209-9778",
            "fax_number": "855-532-6831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 INDUSTRIAL DR",
            "city": "LOUISA",
            "state": "VA",
            "postal_code": "230934187",
            "telephone_number": "540-967-9401",
            "fax_number": "855-532-6831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12801 Plantation Dr",
            "address_purpose": "LOCATION",
            "city": "Spotsylvania",
            "state": "VA",
            "postal_code": "225518041",
            "country_code": "US",
            "telephone_number": "540-209-9778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGBURN",
        "first_name": "MELANIE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "114901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisa, VA

Sources for this page

Verify at the official NPI Registry.