Melinda Nelson, PHD, CNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Amarillo, TX
NPI 1477840569 · NPPES record last updated Apr 6, 2023
Key facts
- NPI
- 1477840569
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- C-APN.0000281-C-NP (CO)
- Practice address
- 1901 Medi Park Dr Ste 2058
Amarillo, TX 79106-2109 - Phone
- (866) 959-2008
- NPI assigned
- Jul 8, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
- 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 Inc
Shannon Clinic
Forefront-Rush Medical Service PA
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 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in TX, NM, LA, AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1726 | TX | MD | Foot Surgery Podiatrist |
| AP120518 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GPCH, LLC | Current | Accepting new patients | |
| Shannon Clinic | Current |
Accepting new patients | |
| GPCH, LLC | Current |
Accepting new patients | |
| GPCH, LLC | Current |
Accepting new patients | |
| Access Telecare, PLLC | Current |
Accepting new patients | |
| Forefront-Rush Medical Services PC | Current |
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
- melinda.mccusker.1@24287.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | C-APN.0000281-C-NP | CO | Yes |
| 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
- Dr. Melinda McCusker
NPI Registry JSON
{
"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
- Ailsa J Nelson
- Chelsey Rae Nelson
- Erin Elizabeth Nelson
- Jennifer Nelson
- Julia Nelson
- Nes Southwest Medical Services Inc
- Dorothy Shelton Nesmith
- Stephen R Neumann
- Neuro-Forge Therapy
- New Foundations Braincare
All providers in Amarillo, TX · Psychiatric/Mental Health Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.