Individual provider Active NPI

Melissa Landon, CRNP

  • Advanced Practice Midwife
  • Media, PA
National Provider Identifier
1477135002
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
MW010613 Issued in PA
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211008002316 PA Practitioner - Certified Nurse Midwife (CNM) 1456759281 Reassigns benefits to 2 organizations

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
Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians

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

LicenseStateTypeSpecialty
SP023512PAMDWomen's Health Nurse Practitioner
MW010613PAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Faculty Practice Plan Inc Single Specialty CurrentSince Aug 16, 2021 Accepting new patients
Temple Faculty Practice Plan Inc Single Specialty CurrentSince Aug 16, 2021 Accepting new patients
Temple Faculty Practice Plan Inc Single Specialty Current Accepting new patients
Main Line Healthcare Single Specialty CurrentSince Nov 9, 2024 Accepting new patients
Main Line Healthcare PastSince Nov 9, 2024 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.