Individual provider Active NPI

Melanie Julia Heers Suozzi

  • Family Nurse Practitioner
  • San Ramon, CA
National Provider Identifier
1477213221
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95016599 Issued in CA
Practice address
3151 Crow Canyon PL
San Ramon, CA 94583-1359
Phone
(925) 202-0341
NPI assigned
Dec 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95016599 CA Primary

Addresses

Primary practice location

3151 Crow Canyon PL
San Ramon, CA 94583-1359

Mailing address

3151 Crow Canyon PL
San Ramon, CA 94583-1359
Phone (925) 202-0340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20220203002370 CA Practitioner - Nurse Practitioner 1658764212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infusion Express of California IncGroup PAC ID 2365720604, 24 clinicians

Practice addresses (Care Compare)

3151 Crow Canyon PL
San Ramon, CA 94583-1359
Phone (925) 202-0340

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Infusion Express of California Inc CurrentSince Jan 31, 2022 Accepting new patients

Locations

2007 4TH St
Berkeley, CA 94710

66 Bovet Rd
Ste 105
San Mateo, CA 94402
Phone (510) 992-4114

3151 Crow Canyon Pl
San Ramon, CA 94583
Phone (925) 202-0340

3151 Crow Canyon Pl
Ste C
San Ramon, CA 94583
Phone (925) 202-0340

2878 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 658-5338

214 Centerview Dr
Ste 250
Brentwood, TN 37027
Phone (847) 420-0686

Organizations & group practices 1

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": "1640044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1477213221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 CROW CANYON PL",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831359",
            "telephone_number": "925-202-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 CROW CANYON PL",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831359",
            "telephone_number": "925-202-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUOZZI",
        "first_name": "MELANIE",
        "middle_name": "JULIA HEERS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95016599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.