Active NPI
Dana Leigh Mello, AGPCNP-BC
- Adult Health Nurse Practitioner
- Plant City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN11020931
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116735100 | Medicaid | FL |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| F308698-1 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastro Florida Pharmacy, LLC | Current | Accepting new patients | |
| West Central Gastroenterology LLP | Current | 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.
-
- Gastroenterology Physician
- Clearwater, FL
- NPI 1144454703
-
- Pharmacy
- Clearwater, FL
- NPI 1285272815
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba South Florida Baptist Hospital
- General Acute Care Hospital
- Plant City, FL
- NPI 1548205883
-
dba St. Joseph's Women's Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
dba St. Joseph's Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.