Individual provider Active NPI

Melanie Beth Bliese, FNP-C

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1497217772
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11001745 Issued in FL
Practice address
2501 W Kennedy Blvd
Tampa, FL 33609-3305
Phone
(813) 844-1385
NPI assigned
Apr 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2018037873 MO
Family Nurse Practitioner 363LF0000X APRN11001745 FL Primary

Addresses

Primary practice location

2501 W Kennedy Blvd
Tampa, FL 33609-3305

Mailing address

2501 W Kennedy Blvd
Tampa, FL 33609-3305
Phone (813) 844-1385

Other practice location 1

677 Hillcrest Dr
Jackson, MO 63755
Phone (573) 450-7863

Other practice location 2

1012 N Main St
Sikeston, MO 63801-5044
Phone (573) 471-0330

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbliese@tgmg.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20211217000631 FL Practitioner - Nurse Practitioner 0840524302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Tampa General Medical Group IncGroup PAC ID 7416253828, 353 clinicians

Practice addresses (Care Compare)

17470 Brookside Trace CT
Tampa, FL 33647-6201
Phone (813) 443-5042

2501 W Kennedy Blvd
Tampa, FL 33609-3305
Phone (813) 844-0344

Hospital & facility affiliations

  • Tampa General Hospital Hospital, Tampa, FL, CCN 100128

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Tampa General Medical Group Inc CurrentSince Jan 1, 2022 Accepting new patients
Tampa General Medical Group Inc CurrentSince Jan 1, 2022 Accepting new patients
Tampa General Medical Group Inc Past Accepting new patients

Locations

214 Morrison Rd
Ste 110
Brandon, FL 33511
Phone (800) 844-9302

10647 Big Bend Rd
Ste 212
Riverview, FL 33579
Phone (813) 844-4600

2501 W Kennedy Blvd
Tampa, FL 33609
Phone (813) 844-0344

Interoperability endpoints

  • Direct secure messaging: mbliese209214@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1497217772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W KENNEDY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093305",
            "telephone_number": "813-844-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W KENNEDY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093305",
            "telephone_number": "813-844-1385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "677 Hillcrest Dr",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MO",
            "postal_code": "63755",
            "country_code": "US",
            "telephone_number": "573-450-7863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1012 N Main St",
            "address_purpose": "LOCATION",
            "city": "Sikeston",
            "state": "MO",
            "postal_code": "638015044",
            "country_code": "US",
            "telephone_number": "573-471-0330",
            "fax_number": "573-471-0461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLIESE",
        "first_name": "MELANIE",
        "middle_name": "BETH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018037873",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11001745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbliese@tgmg.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2501 W Kennedy Blvd",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336093305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.