Active NPI
Melissa Landon, CRNP
- Advanced Practice Midwife
- Media, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- MW010613
- Practice address
- 1098 W Baltimore Pike
Suite 3106, Riddle Health Center 3
Media, PA 19063-5139 - Phone
- (610) 891-6240
- NPI assigned
- Apr 23, 2021
- Last updated
- Dec 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | SP023512 | PA | |
| Advanced Practice Midwife | 367A00000X | MW010613 | PA | Primary |
Addresses
Primary practice location
1098 W Baltimore Pike
Suite 3106, Riddle Health Center 3
Media, PA 19063-5139
Mailing address
3803 W Chester Pike Ste 160
Newtown Square, PA 19073-2336
Phone (484) 337-1632
Other practice location 1
918 County Line Rd
Bryn Mawr, PA 19010-2502
Phone (610) 525-6090
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | WWW.Lifecyclewomancare.org |
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Perelman School of Med at the University of Pennsylvania, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1020 Baltimore Pike
Suite 310
Glen Mills, PA 19342-1343
Phone (610) 565-8564
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP023512 | PA | MD | Women's Health Nurse Practitioner |
| MW010613 | PA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Temple Faculty Practice Plan Inc | Single Specialty | Current | Accepting new patients |
| Temple Faculty Practice Plan Inc | Single Specialty | Current | Accepting new patients |
| Temple Faculty Practice Plan Inc | Single Specialty | Current | Accepting new patients |
| Main Line Healthcare | Single Specialty | Current | Accepting new patients |
| Main Line Healthcare | Past | Accepting new patients |
Locations
830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200
1020 Baltimore Pike
Ste 310
Glen Mills, PA 19342
Phone (484) 227-7532
1098 W Baltimore Pike
Ste 3106
Media, PA 19063
Phone (610) 891-6240
3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530
3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Temple Faculty Anesthesiology Associates
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1881176949
Single Specialty
-
dba Temple Faculty Midwives Associates
- Advanced Practice Midwife
- Philadelphia, PA
- NPI 1497238448
Single Specialty
-
dba Temple Faculty Multi-Specialty at NJ
- Urology Physician
- Voorhees, NJ
- NPI 1407638794
Single Specialty
-
dba Main Line Health Urgent Care and Extended Outpatient Care
- Urgent Care Clinic/Center
- Wynnewood, PA
- NPI 1295214492
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lankenau Hospital
- General Acute Care Hospital
- Wynnewood, PA
- NPI 1245335629
-
- General Acute Care Hospital
- Media, PA
- NPI 1407856099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733702400000",
"number": "1477135002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3803 W CHESTER PIKE STE 160",
"city": "NEWTOWN SQUARE",
"state": "PA",
"postal_code": "190732336",
"telephone_number": "484-337-1632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1098 W BALTIMORE PIKE",
"address_2": "SUITE 3106, RIDDLE HEALTH CENTER 3",
"city": "MEDIA",
"state": "PA",
"postal_code": "190635139",
"telephone_number": "610-891-6240"
}
],
"practiceLocations": [
{
"address_1": "918 County Line Rd",
"address_purpose": "LOCATION",
"city": "Bryn Mawr",
"state": "PA",
"postal_code": "190102502",
"country_code": "US",
"telephone_number": "610-525-6090",
"fax_number": "610-525-6631",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANDON",
"first_name": "MELISSA",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-23",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "PA",
"license": "SP023512",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "PA",
"license": "MW010613",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "WWW.Lifecyclewomancare.org",
"affiliation": "N",
"address_1": "918 County Line Rd",
"city": "Bryn Mawr",
"state": "PA",
"country_code": "US",
"postal_code": "190102502",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.