Individual provider Active NPI

Melissa L Robertson, CRNP

  • Family Nurse Practitioner
  • Erie, PA
National Provider Identifier
1396074985
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP010302 Issued in PA
Practice address
1202 State St
Erie, PA 16501-1914
Phone
(814) 455-7222
Fax
(814) 456-2375
NPI assigned
Dec 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP010302 PA Primary

Addresses

Primary practice location

1202 State St
Erie, PA 16501-1914

Mailing address

1202 State St
Erie, PA 16501-1914
Phone (814) 455-7222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150904000907 PA Practitioner - Nurse Practitioner 3870809890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health NetGroup PAC ID 1759290588, 16 clinicians

Practice addresses (Care Compare)

1202 State St
Erie, PA 16501-1914
Phone (814) 454-4530

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Net CurrentSince Jul 7, 2015 Accepting new patients
Community Health Net CurrentSince Jul 7, 2015 Accepting new patients
Community Health Net Past Accepting new patients
Community Health Net Past Accepting new patients
Community Health Net Past Accepting new patients

Locations

4401 Iroquois Ave
Erie, PA 16511
Phone (814) 455-7222

1202 State St
Erie, PA 16501
Phone (814) 454-4530

1135 Lake St
Ste 2
Girard, PA 16417
Phone (814) 454-4530

Interoperability endpoints

  • Direct secure messaging: melissa.lund.p1@direct.communityhealthnet.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1396074985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011914",
            "telephone_number": "814-455-7222",
            "fax_number": "814-456-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011914",
            "telephone_number": "814-455-7222",
            "fax_number": "814-456-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "MELISSA",
        "middle_name": "L",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-10",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP010302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.