Individual provider Active NPI

Debra Mello-Byrne, NP

  • Nurse Practitioner
  • Lynn, MA
National Provider Identifier
1497127906
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN199815 Issued in MA
Practice address
235 Woodland N
Lynn, MA 01904-1414
Phone
(781) 731-6548
NPI assigned
Oct 22, 2015
Last updated
Feb 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Registered Nurse 163WG0600X 199815 MA
Nurse Practitioner 363L00000X RN199815 MA Primary

Addresses

Primary practice location

235 Woodland N
Lynn, MA 01904-1414

Mailing address

5 Eliot St
Jamaica Plain, MA 02130-2724

Other practice location 1

130 Chestnut Hill Ave
Brighton, MA 02135-4731
Phone (781) 715-6608

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20160817000324 MA Practitioner - Nurse Practitioner 2163717083

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
199815MAMDGerontology Registered Nurse
RN199815MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Healthcare Associates Inc Nurse Practitioner PastSince May 28, 2003 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: debra.mellobyrne.p1@direct.elementcare.nextgenshare.com

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, 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": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1497127906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ELIOT ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 WOODLAND N",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019041414",
            "telephone_number": "781-731-6548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Chestnut Hill Ave",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MA",
            "postal_code": "021354731",
            "country_code": "US",
            "telephone_number": "781-715-6608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELLO-BYRNE",
        "first_name": "DEBRA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-22",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "MA",
            "license": "199815",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN199815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

Verify at the official NPI Registry.