Individual provider Active NPI

Melinda Nelson, PHD, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1477840569
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
C-APN.0000281-C-NP Issued in CO
Practice address
1901 Medi Park Dr Ste 2058
Amarillo, TX 79106-2109
Phone
(866) 959-2008
NPI assigned
Jul 8, 2011
Last updated
Apr 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X C-APN.0000281-C-NP CO Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP120518 TX

Addresses

Primary practice location

1901 Medi Park Dr Ste 2058
Amarillo, TX 79106-2109

Mailing address

1901 Medi Park Dr Ste 2058
Amarillo, TX 79106-2109
Phone (501) 201-0190

Other practice location 1

1307 S Shore Dr
Worthington, MN 56187
Phone (844) 485-3041

Other practice location 2

12605 E 16th Ave
Aurora, CO 80045-2545
Phone (720) 848-0000

Other practice location 3

1307 S Shore Dr
Worthington, MN 56187
Phone (844) 485-3041

Other names 1

  • Dr. Melinda McCusker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM, LA, AR4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20111026000238 TX Practitioner - Nurse Practitioner 4688847353 Reassigns benefits to 4 organizations
I20190110002650 NM Practitioner - Nurse Practitioner 4688847353 Reassigns benefits to 2 organizations
I20220110000505 LA Practitioner - Nurse Practitioner 4688847353 Reassigns benefits to 2 organizations
I20250613003477 AR Practitioner - Nurse Practitioner 4688847353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Forefront Telecare IncGroup PAC ID 9638319114, 29 clinicians
Shannon ClinicGroup PAC ID 0840103727, 550 clinicians
Forefront-Rush Medical Service PAGroup PAC ID 4486884285, 15 clinicians

Practice addresses (Care Compare)

1012 Marquez PL
Unit 106B
Santa Fe, NM 87505-1833
Phone (972) 449-0540

120 E Harris Ave
San Angelo, TX 76903-5904
Phone (325) 747-6741

125 Turner St Unit
14 Mary Anna Nursing Home
Wisner, LA 71378
Phone (972) 449-0540

1717 Main St
Suite 5850
Dallas, TX 75201-7317
Phone (972) 440-9540

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1726TXMDFoot Surgery Podiatrist
AP120518TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Telecare, PLLC CurrentSince Mar 6, 2025 Accepting new patients
GPCH, LLC CurrentSince Feb 13, 2018 Accepting new patients
Forefront-Rush Medical Services PC CurrentSince May 10, 2025 Accepting new patients
Shannon Clinic CurrentSince Nov 24, 2024 Accepting new patients
GPCH, LLC Current Accepting new patients
GPCH, LLC CurrentSince Feb 13, 2018 Accepting new patients
Forefront-Crane Medical Services PC Past Accepting new patients

Locations

300 Spring Building
Ste 900
Little Rock, AR 72201
Phone 80099761969238

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

1901 Medi Park Dr
Ste 2058
Amarillo, TX 79106
Phone (806) 354-9540

1901 Medi Park Dr
Ste 219
Amarillo, TX 79106
Phone (806) 356-7744

100 Medical Dr
Borger, TX 79007
Phone (806) 273-1100

1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512

120 E Beauregard Ave
San Angelo, TX 76903
Phone (915) 658-1511

120 E Harris Ave
San Angelo, TX 76903
Phone (325) 653-6741

Interoperability endpoints

  • Direct secure messaging: melinda.mccusker.1@24287.direct.athenahealth.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1477840569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK DR STE 2058",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062109",
            "telephone_number": "501-201-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK DR STE 2058",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062109",
            "telephone_number": "866-959-2008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1307 S Shore Dr",
            "address_purpose": "LOCATION",
            "city": "Worthington",
            "state": "MN",
            "postal_code": "56187",
            "country_code": "US",
            "telephone_number": "844-485-3041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12605 E 16th Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800452545",
            "country_code": "US",
            "telephone_number": "720-848-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1307 S Shore Dr",
            "address_purpose": "LOCATION",
            "city": "Worthington",
            "state": "MN",
            "postal_code": "56187",
            "country_code": "US",
            "telephone_number": "844-485-3041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MELINDA",
        "name_prefix": "Mrs.",
        "credential": "PHD, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-08",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C-APN.0000281-C-NP",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP120518",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELINDA",
            "last_name": "MCCUSKER",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.