Individual provider Active NPI

Jessica Powers, APN

  • Adult Health Nurse Practitioner
  • Red Bank, NJ
National Provider Identifier
1417316241
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00622400 Issued in NJ
Practice address
27 Pinckney Rd
Red Bank, NJ 07701-2179
Phone
(732) 747-4600
NPI assigned
Feb 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00622400 NJ Primary
Gerontology Nurse Practitioner 363LG0600X 26NJ00622400 NJ

Addresses

Primary practice location

27 Pinckney Rd
Red Bank, NJ 07701-2179

Mailing address

27 Pinckney Rd
Red Bank, NJ 07701-2179
Phone (732) 747-4600

Other names 1

  • Jessica Melchior Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20160526000755 NJ Practitioner - Nurse Practitioner 7113217555 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00622400NJMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Malek Medical PC CurrentSince Oct 15, 2018 Accepting new patients
Ima Urgent Care Past Accepting new patients

Locations

232 Norwood Ave
West Long Branch, NJ 07764
Phone (732) 222-4694

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAACBD
  • Direct secure messaging: jessica.powers@ima.directbygreenway.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71872

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": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1417316241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 PINCKNEY RD",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012179",
            "telephone_number": "732-747-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 PINCKNEY RD",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012179",
            "telephone_number": "732-747-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "JESSICA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-22",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00622400",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00622400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MELCHIOR",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.