Melissa Costantini, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

23719 Issued in SC

Practice address

4612 Oleander Drive Unit 102
Myrtle Beach, SC 29577-2957

Phone

(843) 945-8117

NPI assigned

Feb 27, 2020

Sex

Female

Sole proprietor

Yes

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 SC

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

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.

• Advanced Medical Solution 1 LLC

  • Physical Medicine & Rehabilitation Physician
  • Myrtle Beach, SC
  • NPI 1174188502
  Medicare reassignment

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1386278422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4612 OLEANDER DRIVE UNIT 102",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295774346",
            "telephone_number": "843-945-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4612 OLEANDER DRIVE UNIT 102",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295772957",
            "telephone_number": "843-945-8117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4016 River Oaks Dr",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295796673",
            "country_code": "US",
            "telephone_number": "843-747-7922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSTANTINI",
        "first_name": "MELISSA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "23719",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "23719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cornerstone Caregiving East LLC
• Stephanie Helbeck Cornfield, MSW
• Timothy J Cornnell, MD
• Jeffrey Corradetti, CPHT
• Emilynn Cortese
• Costco Wholesale Corporation (Costco Hearing Aid #338)
• Costco Wholesale Corporation (Costco Optical #338)
• Costco Wholesale Corporation
• Tammy Lynne Costello, DC
• Priscilla Cotter

• Family Nurse Practitioner in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.