Individual provider Active NPI

Melissa Niceley, RN

  • Family Nurse Practitioner
  • Mount Orab, OH
National Provider Identifier
1588062517
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0039607 Issued in OH
Practice address
100 Dean Dr
Mount Orab, OH 45154-3505
Phone
(937) 444-0035
Fax
(937) 444-0036
NPI assigned
Dec 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.381708 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.0039607 OH Primary

Addresses

Primary practice location

100 Dean Dr
Mount Orab, OH 45154-3505

Mailing address

100 Dean Dr
Mount Orab, OH 45154-3505
Phone (937) 444-0035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20251029003724 OH Practitioner - Nurse Practitioner 7416446455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 Dean Dr
Mount Orab, OH 45154-3505

7134 Fowler Ave
Cincinnati, OH 45243-2504

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.381708OHMDRegistered Nurse
APRN.CNP.0039607OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
All About Kids Pediatrics, LLC CurrentSince Sep 29, 2025 Accepting new patients

Locations

100 Dean Dr
Mount Orab, OH 45154
Phone (937) 444-0035

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14987/brand/1/csg/1/fhir/r4
  • Direct secure messaging: melissa.niceley.1@14987.direct.athenahealth.com

Organizations & group practices 1

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": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1588062517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DEAN DR",
            "city": "MOUNT ORAB",
            "state": "OH",
            "postal_code": "451543505",
            "telephone_number": "937-444-0035",
            "fax_number": "937-444-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DEAN DR",
            "city": "MOUNT ORAB",
            "state": "OH",
            "postal_code": "451543505",
            "telephone_number": "937-444-0035",
            "fax_number": "937-444-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICELEY",
        "first_name": "MELISSA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-08",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.381708",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0039607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Orab, OH

Sources for this page

Verify at the official NPI Registry.