Individual provider Active NPI

Melissa Kelley, ARNP

  • Adult Health Nurse Practitioner
  • Venice, FL
National Provider Identifier
1528517562
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN9292506 Issued in FL
Practice address
901 Venetia Bay Blvd Ste 110
Venice, FL 34285-8042
Phone
(941) 484-4778
Fax
(941) 485-8063
NPI assigned
Oct 3, 2016
Last updated
Jan 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 9292506 FL
Adult Health Nurse Practitioner 363LA2200X APRN9292506 FL Primary

Addresses

Primary practice location

901 Venetia Bay Blvd Ste 110
Venice, FL 34285-8042

Mailing address

2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address melissa.kelley.1@4692.direct.athenahealth.com

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
I20161202000139 FL Practitioner - Nurse Practitioner 0143500439 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians
Nokomis Physical Therapy LLCGroup PAC ID 8628240843, 104 clinicians
Empath Therapies LLCGroup PAC ID 5496144529, 108 clinicians

Practice addresses (Care Compare)

1065 Tamiami TRL N
Nokomis, FL 34275-2144
Phone (941) 477-2364

109 Laurel Rd E
Nokomis, FL 34275-5233
Phone (941) 375-8734

13807 Tamiami TRL
North Port, FL 34287-2069
Phone (941) 257-1108

13815 Tamiami TRL
North Port, FL 34287-2069
Phone (941) 426-4900

13823 Tamiami TRL
North Port, FL 34287-2069
Phone (941) 888-0770

1700 E Venice Ave
Venice, FL 34292-3190
Phone (941) 800-4700

171 Ctr Rd
Venice, FL 34285-5572
Phone (941) 499-5407

1720 E Venice Ave
Venice, FL 34292-3190
Phone (941) 483-9700

177 Ctr Rd
Venice, FL 34285-5572
Phone (941) 207-5350

19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (941) 255-3535

2675 Winkler Ave
Fort Myers, FL 33901-9328

2675 Winkler Avenue
Suite 200
Fort Myers, FL 33901-9328

3000 S McCall Rd
Englewood, FL 34224-8616
Phone (941) 406-9029

3600 William Penn Way
Venice, FL 34293-5236
Phone (941) 483-0746

900 Pine St
Suite 221
Englewood, FL 34223-4458
Phone (941) 548-1708

901 Venetia Bay Blvd
Suite 110
Venice, FL 34285-8042
Phone (941) 484-4778

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9292506FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC CurrentSince Jan 3, 2022 Accepting new patients
MCR Health, Inc. CurrentSince Jan 1, 2019 Accepting new patients
Millennium Physician Group LLC CurrentSince Jan 3, 2022 Accepting new patients
MCR Health, Inc. CurrentSince Jan 1, 2019 Accepting new patients

Locations

425 Nursing Home Dr
Arcadia, FL 34266
Phone (863) 494-9991

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

700 8th Ave W
Ste 101
Palmetto, FL 34221
Phone (941) 776-4008

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

8383 S Tamiami Trl
Unit 115
Sarasota, FL 34238
Phone (941) 244-9430

901 Venetia Bay Blvd
Ste 110
Venice, FL 34285
Phone (844) 366-9362

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: melissa.kelley.1@4290.direct.athenahealth.com
  • Direct secure messaging: melissa.kelley.1@4692.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1528517562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "877-856-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 VENETIA BAY BLVD STE 110",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342858042",
            "telephone_number": "941-484-4778",
            "fax_number": "941-485-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "MELISSA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-03",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9292506",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN9292506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melissa.kelley.1@4692.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "901 Venetia Bay Blvd Ste 110",
            "city": "Venice",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342858042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.