Individual provider Active NPI

Melissa Caroline Ray Rankow, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Jupiter, FL
National Provider Identifier
1467916486
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
210 Jupiter Lakes Blvd Ste 105
Jupiter, FL 33458-7187
Phone
(561) 748-4445
NPI assigned
Jan 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

210 Jupiter Lakes Blvd Ste 105
Jupiter, FL 33458-7187

Mailing address

11031 Legacy Blvd
Apt 102
Palm Beach Gardens, FL 33410-3621
Phone (561) 313-2729

Other names 1

  • Melissa Caroline Ray Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190301001866 FL Practitioner - Physician Assistant 2062751472 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT and Allergy Associates of Florida, LLCGroup PAC ID 0042292849, 227 clinicians

Practice addresses (Care Compare)

900 NW 13TH St
Suite 206
Boca Raton, FL 33486-2350
Phone (561) 391-3333

Hospital & facility affiliations

  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Florida Physician Services II, LLC Physician Assistant CurrentSince Oct 15, 2021 Accepting new patients
Tenet Florida Physician Services II, LLC CurrentSince Oct 15, 2021 Accepting new patients
Jupiter Medical Center Physicians Group CurrentSince Feb 1, 2019 Accepting new patients
Jupiter Medical Center Physicians Group Inc CurrentSince Feb 1, 2019 Accepting new patients

Locations

3000 Bayview Dr
Ft Lauderdale, FL 33306
Phone (954) 393-1708

210 Jupiter Lakes Blvd
Ste 105
Jupiter, FL 33458
Phone (561) 575-7875

1025 Military Trl
Ste 200
Jupiter, FL 33458
Phone (561) 575-2000

1002 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 741-5695

1335 W Indiantown Rd
Jupiter, FL 33458
Phone (561) 263-7010

3250 Pga Blvd
Palm Beach Gardens, FL 33410
Phone (561) 263-5775

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1467916486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11031 LEGACY BLVD",
            "address_2": "APT 102",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103621",
            "telephone_number": "561-313-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 JUPITER LAKES BLVD STE 105",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587187",
            "telephone_number": "561-748-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANKOW",
        "first_name": "MELISSA",
        "middle_name": "CAROLINE RAY",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-23",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "RAY",
            "middle_name": "CAROLINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.