Melissa S Pangallo, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3003623 Issued in KY

Practice address

10032 Demia Way Ste 225
Florence, KY 41042-4734

Phone

(859) 647-6700

Fax

(859) 372-6362

NPI assigned

May 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• CHMC Community Health Services Network

  • Pediatrics Physician
  • Cincinnati, OH
  • NPI 1245821271

  KY, Nurse Practitioner

  Medicare reassignment NPD
• Pediatric Associates PSC

  • Pediatrics Physician
  • Crestview Hills, KY
  • NPI 1497808687

  Nurse Practitioner

  NPD (past)
• CHMC Community Health Services Network

  • Pediatrics Physician
  • Batesville, IN
  • NPI 1053464305
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1356550784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10032 DEMIA WAY",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410424734",
            "telephone_number": "859-647-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10032 DEMIA WAY STE 225",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410424734",
            "telephone_number": "859-647-6700",
            "fax_number": "859-372-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANGALLO",
        "first_name": "MELISSA",
        "middle_name": "S",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3003623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Pack, FNP-C
• Andrew Benjamin Paez, DMD
• Cherie Tewes Page, PT
• Danielle Palmer, MS
• Stacey A Palmer, APRN
• Virginia Parker, DO
• Lloyd Parmley, D.M.D.
• Megan Parry, PHARMD
• Ambrya Parton
• Amy Marie Pastura, PHARMD

• Nurse Practitioner in Florence, KY
• Providers in Florence, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.