Individual provider Active NPI

Jamie Marie Melendez, AGACNP

  • Acute Care Nurse Practitioner
  • Dearborn Heights, MI
National Provider Identifier
1346001419
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
4704339964 Issued in MI
Practice address
8476 Robindale Ave
Dearborn Heights, MI 48127-1211
Phone
(313) 207-1484
NPI assigned
Jan 17, 2024
Last updated
Jan 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 4704339964 MI Primary

Addresses

Primary practice location

8476 Robindale Ave
Dearborn Heights, MI 48127-1211

Mailing address

8476 Robindale Ave
Dearborn Heights, MI 48127-1211
Phone (313) 207-1484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20240223002334 MI Practitioner - Nurse Practitioner 8921443425 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primedical Healthcare Associates PLLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

6501 Greenfield Rd
Ste A
Detroit, MI 48228
Phone (313) 651-7053

6501 Greenfield Rd
Ste B
Detroit, MI 48228
Phone (313) 651-7053

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, 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": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1346001419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8476 ROBINDALE AVE",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481271211",
            "telephone_number": "313-207-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8476 ROBINDALE AVE",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481271211",
            "telephone_number": "313-207-1484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDEZ",
        "first_name": "JAMIE",
        "middle_name": "MARIE",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704339964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

Verify at the official NPI Registry.