Individual provider Active NPI

Nicole Erin Melet, P.A.

  • Medical Physician Assistant
  • San Francisco, CA
National Provider Identifier
1477657971
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA15523 Issued in CA
Practice address
3838 California St RM 610
San Francisco, CA 94118-1508
Phone
(415) 387-8007
Fax
(415) 387-8008
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA15623 CA
Medical Physician Assistant 363AM0700X PA15523 CA Primary
Physician Assistant 363A00000X PA15623 CA

Addresses

Primary practice location

3838 California St RM 610
San Francisco, CA 94118-1508

Mailing address

2308A Divisadero St
San Francisco, CA 94115-1721
Phone (415) 203-2517

Other practice location 1

45 Castro St Ste 332
San Francisco, CA 94114-1019
Phone (415) 861-2600

Other identifiers 1

IdentifierTypeStateIssuer
PA15523OtherCAPHYSICIAN ASSISTANT LICENSE

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
I20050804000780 CA Practitioner - Physician Assistant 1355377144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Csi Medical GroupGroup PAC ID 5890916845, 104 clinicians

Practice addresses (Care Compare)

3838 California St
RM 610
San Francisco, CA 94118-1508
Phone (415) 387-8007

909 Hyde St
Suite 419
San Francisco, CA 94109-4846
Phone (415) 678-5887

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA15523CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
California Skin Institute, a Medical Corporation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nicole.melet@schweigerderm.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1477657971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308A DIVISADERO ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941151721",
            "telephone_number": "415-203-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 CALIFORNIA ST RM 610",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181508",
            "telephone_number": "415-387-8007",
            "fax_number": "415-387-8008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Castro St Ste 332",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941141019",
            "country_code": "US",
            "telephone_number": "415-861-2600",
            "fax_number": "415-861-8627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELET",
        "first_name": "NICOLE",
        "middle_name": "ERIN",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA15623",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA15523",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA15623",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT LICENSE",
            "identifier": "PA15523",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.