Melissa Fillmore, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

NP95013755 Issued in CA

Practice address

2001 Wilshire Blvd Ste 320
Santa Monica, CA 90403-5683

Phone

(310) 566-2006

Fax

(424) 322-1214

NPI assigned

Dec 1, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mark David Levine MD Professional CorporationGroup PAC ID 0143478305, 165 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

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.

• Mark David Levine M.D. Professional Corporation

  • Psychiatry Physician
  • Sacramento, CA
  • NPI 1154697944

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Mark David Levine, MD Burlingame PC

  • Psychiatry Physician
  • San Mateo, CA
  • NPI 1770709263
  NPD

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1356855142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 WILSHIRE BLVD STE 320",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035683",
            "telephone_number": "310-566-2006",
            "fax_number": "424-322-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 WILSHIRE BLVD STE 320",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035683",
            "telephone_number": "310-566-2006",
            "fax_number": "424-322-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILLMORE",
        "first_name": "MELISSA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-01",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "OH",
            "license": "RN.428291",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP95013755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xavier Angel Fierro
• Sheldon Figoten, DDS
• Dana Figura, DPM
• Robert Fileta
• Aaron Gershon Filler, M.D., PH.D.
• Darius Alexander Filsoof, M.D.
• Robert Mitchell Finch II, PA
• Sydney Fine
• Ilya Finkelshteyn, M.D.
• Madelynn Stacey Finkelstein, RNP

• Psychiatric/Mental Health Nurse Practitioner in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.