Individual provider Active NPI

Melody M Mast, CNM

  • Women's Health Nurse Practitioner
  • Harrisonburg, VA
National Provider Identifier
1376724393
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
0024167585 Issued in VA
Practice address
119 University Blvd Ste B
Harrisonburg, VA 22801-3753
Phone
(540) 575-5245
Fax
(540) 217-2467
NPI assigned
Nov 19, 2007
Last updated
Sep 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 0024167585 VA
Women's Health Nurse Practitioner 363LW0102X 0024167585 VA Primary

Addresses

Primary practice location

119 University Blvd Ste B
Harrisonburg, VA 22801-3753

Mailing address

119 University Blvd Ste B
Harrisonburg, VA 22801-3753
Phone (540) 575-5245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080624000347 VA Practitioner - Certified Nurse Midwife (CNM) 3678644333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plena Integrative Health CenterGroup PAC ID 2567808447, 2 clinicians

Practice addresses (Care Compare)

119 University Blvd
Suite B
Harrisonburg, VA 22801-3753
Phone (540) 575-5245

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
0024167585VAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Plena Integrative Health Center CurrentSince Feb 13, 2024 Accepting new patients

Locations

119 University Blvd
Ste B
Harrisonburg, VA 22801
Phone (540) 434-5709

Interoperability endpoints

  • Direct secure messaging: melodymast@swh.allscriptsdirect.net

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.

Hospital & facility affiliations 2

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": "1195430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1376724393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 UNIVERSITY BLVD STE B",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013753",
            "telephone_number": "540-575-5245",
            "fax_number": "540-217-2467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 UNIVERSITY BLVD STE B",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013753",
            "telephone_number": "540-575-5245",
            "fax_number": "540-217-2467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAST",
        "first_name": "MELODY",
        "middle_name": "M",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-19",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VA",
            "license": "0024167585",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024167585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

Verify at the official NPI Registry.