Active NPI
Jessica Powers, APN
- Adult Health Nurse Practitioner
- Red Bank, NJ
National Provider Identifier
1417316241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 26NJ00622400
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00622400 | NJ | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Malek Medical PC | Current | 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
- https://fhir4.healow.com/fhir/r4/IAACBD
- jessica.powers@ima.directbygreenway.com
- 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.
-
- Internal Medicine Physician
- W Long Branch, NJ
- NPI 1205873601
-
- Urgent Care Clinic/Center
- Shrewsbury, NJ
- NPI 1427432244
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.