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

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.

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 (29 clinicians)
Shannon Clinic (550 clinicians)
Forefront-Rush Medical Service PA (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 100 (individual)

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 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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Nurse Practitioner, Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1726TXMDFoot Surgery Podiatrist
AP120518TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 6, 2023.

{
    "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

All providers in Amarillo, TX · Psychiatric/Mental Health Nurse Practitioner in Texas

Sources for this page

Verify at the official NPI Registry.