Individual provider Active NPI

Dana Leigh Mello, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Plant City, FL
National Provider Identifier
1568943629
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11020931 Issued in FL
Practice address
508 N Alexander St Ste 1
Plant City, FL 33563-3036
Phone
(813) 759-6607
Fax
(813) 759-4670
NPI assigned
Aug 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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 F308698-1 NY
Adult Health Nurse Practitioner 363LA2200X APRN11020931 FL Primary

Addresses

Primary practice location

508 N Alexander St Ste 1
Plant City, FL 33563-3036

Mailing address

3001 Executive Dr Ste 130
Clearwater, FL 33762-5323
Phone (727) 347-0005

Other practice location 1

37908 Daughtery Rd Ste A
Zephyrhills, FL 33541-1316
Phone (813) 780-8620

Other identifiers 1

IdentifierTypeStateIssuer
116735100MedicaidFL

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
I20221021002684 FL Practitioner - Nurse Practitioner 7810363470 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
Group practices
West Central Gastroenterology LLPGroup PAC ID 0648322362, 82 clinicians

Practice addresses (Care Compare)

3001 Executive Dr
Suite 130
Clearwater, FL 33762-5323
Phone (727) 347-0005

508 N Alexander St
Plant City, FL 33563-3036
Phone (813) 759-6607

6225 66 St N
Pinellas Park, FL 33781-5025
Phone (727) 521-0994

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F308698-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastro Florida Pharmacy, LLC CurrentSince Jan 22, 2023 Accepting new patients
West Central Gastroenterology LLP CurrentSince Jan 13, 2023 Accepting new patients

Locations

3001 Executive Dr
Ste 130
Clearwater, FL 33762
Phone (727) 329-3371

6225 66th St N
Pinellas Park, FL 33781
Phone (727) 521-0994

508 N Alexander St
Ste 1
Plant City, FL 33563
Phone (813) 759-6607

37908 Daughtery Rd
Ste A
Zephyrhills, FL 33541
Phone (813) 780-8620

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1568943629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 EXECUTIVE DR STE 130",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337625323",
            "telephone_number": "727-347-0005",
            "fax_number": "727-541-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 N ALEXANDER ST STE 1",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335633036",
            "telephone_number": "813-759-6607",
            "fax_number": "813-759-4670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37908 Daughtery Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Zephyrhills",
            "state": "FL",
            "postal_code": "335411316",
            "country_code": "US",
            "telephone_number": "813-780-8620",
            "fax_number": "813-788-2095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELLO",
        "first_name": "DANA",
        "middle_name": "LEIGH",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F308698-1",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11020931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116735100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

Verify at the official NPI Registry.