NPIMap

Individual provider Active NPI

Melonie C. Kalnenieks, PA-C

  • Physician Assistant
  • Springfield, MA
National Provider Identifier
1366601239
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2319 Issued in MA
Practice address
1040 Main St
Springfield, MA 01103-2107
Phone
(413) 739-1100
Fax
(413) 304-4672
NPI assigned
Jun 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2319 MA Primary

Addresses

Primary practice location

1040 Main St
Springfield, MA 01103-2107

Mailing address

1049 Main St
Springfield, MA 01103-2114
Phone (413) 739-1100

Other identifiers 2

IdentifierTypeStateIssuer
MC0669789JOtherMACONTROLLED SUBSTANCE REGISTRATION
1310097MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080129000147 MA Practitioner - Physician Assistant 7214019314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Riverbend Medical Group IncGroup PAC ID 5698064343, 227 clinicians

Practice addresses (Care Compare)

175 Carew St
Springfield, MA 01104-2389

175 Carew St
Springfield, MA 01104-2391

233 Carew St
Springfield, MA 01104-2377
Phone (413) 748-9212

271 Carew St
Springfield, MA 01104-2377
Phone (413) 748-9000

Hospital & facility affiliations

  • Elara Caring Home health agency, Braintree, MA, CCN 227475
  • Baystate Home Health Home health agency, W Springfield, MA, CCN 227011
  • Amedisys Home Health Care Home health agency, Agawam, MA, CCN 227288
  • Caretenders Home health agency, Holyoke, MA, CCN 227584
  • Comfort Plus Caregivers LLC Home health agency, East Longmeadow, MA, CCN 227707
  • Mercy Medical Ctr Hospital, Springfield, MA, CCN 220066
  • Baystate Medical Center Hospital, Springfield, MA, CCN 220077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2319MAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Riverbend Medical Group, Inc CurrentSince Oct 29, 2018 Accepting new patients
The Mercy Hospital Inc Past Accepting new patients
Mwa,PC Past Accepting new patients

Locations

175 Carew St
Ste 200
Springfield, MA 01104
Phone (413) 734-8254

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

395 Southampton Rd
Ste 100
Westfield, MA 01085
Phone (413) 485-4661

Interoperability endpoints

  • Direct secure messaging: mcerratokalnenieks2389186@direct.trinity-health.org

Organizations & group practices 4

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1366601239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 MAIN ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011032114",
            "telephone_number": "413-739-1100",
            "fax_number": "413-304-4672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 MAIN ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011032107",
            "telephone_number": "413-739-1100",
            "fax_number": "413-304-4672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALNENIEKS",
        "first_name": "MELONIE",
        "middle_name": "C.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "2319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE REGISTRATION",
            "identifier": "MC0669789J",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1310097",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.