Individual provider Active NPI

Melissa Ann Ridella, APRN

  • Family Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1568006864
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
818253 Issued in NV
Practice address
1748 W Horizon Ridge Pkwy
Henderson, NV 89012-4833
Phone
(702) 982-1300
NPI assigned
Oct 30, 2019
Last updated
Jul 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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 818253 NV Primary

Addresses

Primary practice location

1748 W Horizon Ridge Pkwy
Henderson, NV 89012-4833

Mailing address

1000 N Green Valley Pkwy # 440-553
Henderson, NV 89074-6170
Phone (702) 553-6574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20200406002795 NV Practitioner - Nurse Practitioner 5294164679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Nevada School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fabito Anesthesia and Pain Specialists PCGroup PAC ID 9335295591, 6 clinicians

Practice addresses (Care Compare)

1748 W Horizon Ridge Pkwy
Henderson, NV 89012-4833
Phone (702) 982-1300

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
85.85
Improvement activities
40
Cost
72.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
818253NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fabito Anesthesia & Pain Specialists PC CurrentSince Feb 15, 2020 Accepting new patients
Craig D. Clark, M.D., Professional Corp. Past Accepting new patients

Locations

1000 N Green Valley Pkwy
#440533
Henderson, NV 89074

1748 W Horizon Ridge Pkwy
Henderson, NV 89012
Phone (702) 966-2435

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": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1568006864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N GREEN VALLEY PKWY # 440-553",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746170",
            "telephone_number": "702-553-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1748 W HORIZON RIDGE PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890124833",
            "telephone_number": "702-982-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDELLA",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "818253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.