Individual provider Active NPI

Melvita J Allen, APRN

  • Nurse Practitioner
  • Fernandina Beach, FL
National Provider Identifier
1376103697
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11000553 Issued in FL
Practice address
1250 S 18TH St Ste 202
Fernandina Beach, FL 32034-4729
Phone
(904) 261-9786
Fax
(904) 376-3203
NPI assigned
Jun 18, 2019
Last updated
Nov 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11000553 FL Primary
Family Nurse Practitioner 363LF0000X APRN11000553 FL

Addresses

Primary practice location

1250 S 18TH St Ste 202
Fernandina Beach, FL 32034-4729

Mailing address

PO Box 746652
Atlanta, GA 30374-6652
Phone (904) 202-2092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200207002196 FL Practitioner - Nurse Practitioner 5294161352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Cardiology, Inc.Group PAC ID 2466614581, 98 clinicians

Practice addresses (Care Compare)

1250 S 18TH St
Suite 202
Fernandina Beach, FL 32034-4729
Phone (904) 261-9786

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Baptist Cardiology, Inc. Nurse Practitioner CurrentSince Feb 3, 2025 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

1250 S 18th St
Ste 202
Fernandina Beach, FL 32034
Phone (904) 202-2000

1348 S 18th St
Ste 200
Fernandina Beach, FL 32034
Phone (904) 261-9786

836 Prudential Dr
Ste 1700
Jacksonville, FL 32207
Phone (904) 398-0125

1300 Medical Dr
Tallahassee, FL 32308
Phone (850) 216-0190

2100 Centerville Rd
Tallahassee, FL 32308
Phone (850) 216-0178

Interoperability endpoints

  • Direct secure messaging: mallen21792@tallahasseememorial.direct-ci.com
  • Direct secure messaging: mallen256014@baptisthealthsystemjacksonville.direct-ci.com
  • Direct secure messaging: melvitaallen@tmhpp2.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1376103697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746652",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746652",
            "telephone_number": "904-202-2092",
            "fax_number": "904-376-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S 18TH ST STE 202",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320344729",
            "telephone_number": "904-261-9786",
            "fax_number": "904-376-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "MELVITA",
        "middle_name": "J",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11000553",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11000553",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina Beach, FL

Sources for this page

Verify at the official NPI Registry.