Individual provider Active NPI

Melissa Lou Fletcher

  • Family Nurse Practitioner
  • Honolulu, HI
National Provider Identifier
1538404033
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1525 Issued in HI
Practice address
677 Ala Moana Blvd Ste 903
Honolulu, HI 96813-5416
Phone
(808) 308-0300
NPI assigned
Dec 10, 2012
Last updated
May 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 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 1525 HI Primary

Addresses

Primary practice location

677 Ala Moana Blvd Ste 903
Honolulu, HI 96813-5416

Mailing address

PO Box 29546
Honolulu, HI 96820-1946
Phone (808) 729-7536

Other names 1

  • Melissa Lou Janz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20130104000194 HI Practitioner - Nurse Practitioner 3476658287 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1525HIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Innovations LLC PastSince Aug 2, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: melissa.fletcher.1@28590.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DEDCCA

Organizations & group practices 2

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": "1355097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1538404033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29546",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968201946",
            "telephone_number": "808-729-7536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 ALA MOANA BLVD STE 903",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135416",
            "telephone_number": "808-308-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "MELISSA",
        "middle_name": "LOU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-10",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "1525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "JANZ",
            "middle_name": "LOU",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.