Individual provider Active NPI

Melodi Fulya Genceli-Ozkan, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Bryan, TX
National Provider Identifier
1528678935
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143799 Issued in TX
Practice address
2308 E Villa Maria Rd Ste 100
Bryan, TX 77802-2589
Phone
(979) 821-7690
Fax
(979) 821-7691
NPI assigned
Aug 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP143799 TX Primary

Addresses

Primary practice location

2308 E Villa Maria Rd Ste 100
Bryan, TX 77802-2589

Mailing address

2308 E Villa Maria Rd Ste 100
Bryan, TX 77802-2589
Phone (979) 821-7690

Other practice location 1

2469 Bay Area Blvd
Houston, TX 77058-1519
Phone (281) 486-0613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220725002827 TX Practitioner - Nurse Practitioner 9537589726 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP143799TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph Regional Health Center Family CurrentSince Dec 1, 2023 Accepting new patients
St Joseph Regional Health Center CurrentSince Dec 1, 2023 Accepting new patients
College Station Hospital LP Past Accepting new patients

Locations

2801 Franciscan Dr
Bryan, TX 77802
Phone (409) 776-3777

Interoperability endpoints

  • Direct secure messaging: mgenceliozkan456671@direct.stlukeshealth.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1596240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1528678935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 E VILLA MARIA RD STE 100",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022589",
            "telephone_number": "979-821-7690",
            "fax_number": "979-821-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 E VILLA MARIA RD STE 100",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022589",
            "telephone_number": "979-821-7690",
            "fax_number": "979-821-7691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2469 Bay Area Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770581519",
            "country_code": "US",
            "telephone_number": "281-486-0613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENCELI-OZKAN",
        "first_name": "MELODI",
        "middle_name": "FULYA",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-01",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

Verify at the official NPI Registry.