Individual provider Active NPI

Juanita Meads Melko, FNP-C

  • Family Nurse Practitioner
  • Elizabeth City, NC
National Provider Identifier
1396845483
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5007165 Issued in NC
Practice address
711 Roanoke Ave
Elizabeth City, NC 27909-5643
Phone
(252) 338-4400
Fax
(252) 337-6792
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 101908 NC
Emergency Registered Nurse 163WE0003X 101908 NC
Family Nurse Practitioner 363LF0000X 5007165 NC Primary

Addresses

Primary practice location

711 Roanoke Ave
Elizabeth City, NC 27909-5643

Mailing address

535 Pointe Vista Dr
Elizabeth City, NC 27909-9116
Phone (252) 330-4079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20190508003006 NC Practitioner - Nurse Practitioner 5092057257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Pulmonary Associates PAGroup PAC ID 9234228628, 2 clinicians

Practice addresses (Care Compare)

111 Medical Dr
Elizabeth City, NC 27909-3465
Phone (252) 331-1506

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101908NCMDEmergency Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Pulmonary Associates PA CurrentSince Jun 13, 2022 Accepting new patients
Carter Medical Associates Past Accepting new patients

Locations

500 Academy St S
Ahoskie, NC 27910
Phone (252) 209-3000

111 Medical Dr
Ste A
Elizabeth Cty, NC 27909
Phone (252) 331-1506

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jaunita.melko.p1@direct.apa.nextgenshare.com

Organizations & group practices 2

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412899200000",
    "number": "1396845483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 POINTE VISTA DR",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279099116",
            "telephone_number": "252-330-4079",
            "fax_number": "252-337-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 ROANOKE AVE",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279095643",
            "telephone_number": "252-338-4400",
            "fax_number": "252-337-6792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELKO",
        "first_name": "JUANITA",
        "middle_name": "MEADS",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2014-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NC",
            "license": "101908",
            "primary": false
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "NC",
            "license": "101908",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5007165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

Verify at the official NPI Registry.