Individual provider Active NPI

Melinda S Rakesmith, CRNA

  • Certified Registered Nurse Anesthetist
  • Pompano Beach, FL
National Provider Identifier
1588662480
Registry record updated Apr 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
254403 Issued in OH
Practice address
2637 E Atlantic Blvd
#39942
Pompano Beach, FL 33062-4939
Phone
(419) 410-5758
NPI assigned
Jul 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 254403 OH Primary

Addresses

Primary practice location

2637 E Atlantic Blvd
#39942
Pompano Beach, FL 33062-4939

Mailing address

2637 E Atlantic Blvd
#39942
Pompano Beach, FL 33062-4939
Phone (419) 410-5758

Other identifiers 3

IdentifierTypeStateIssuer
430065755OtherOHRAILROAD MEDICARE
104341115OtherMIMICHIGAN MEDICAID
2181508MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040114000417 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 3971404948 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Partners Physician GroupGroup PAC ID 4183529340, 409 clinicians

Practice addresses (Care Compare)

224 W Exchange St
Suite 160
Akron, OH 44302-1705
Phone (330) 344-6505

224 W Exchange St
Suite 225
Akron, OH 44302-1726
Phone (330) 344-7400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
254403OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Partners Physician Group CurrentSince Apr 8, 2019 Accepting new patients
Promedica Central Physicians CurrentSince Dec 31, 2015 Accepting new patients
Ohio Hospital-Based Physician Corporation CurrentSince Sep 13, 2022 Accepting new patients
Partners Physician Group CurrentSince Apr 8, 2019 Accepting new patients
Ohio Hospital-Based Physicians Corporation CurrentSince Sep 13, 2022 Accepting new patients
Promedica Central Physicians CurrentSince Dec 31, 2015 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Anesthesiology Consultants of Toledo, Inc Past Accepting new patients

Locations

224 W Exchange St
Ste 225
Akron, OH 44302
Phone (330) 344-7400

224 W Exchange St
Ste 220
Akron, OH 44302
Phone (330) 344-7040

224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

501 Van Buren St
Fostoria, OH 44830
Phone (419) 435-7734

5200 Harroun Rd
Sylvania, OH 43560
Phone (419) 824-1305

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

2865 N Reynolds Rd
Ste 190
Toledo, OH 43615
Phone (419) 578-7500

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

Organizations & group practices 9

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 1

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492128000000",
    "number": "1588662480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 E ATLANTIC BLVD",
            "address_2": "#39942",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624939",
            "telephone_number": "419-410-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2637 E ATLANTIC BLVD",
            "address_2": "#39942",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624939",
            "telephone_number": "419-410-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKESMITH",
        "first_name": "MELINDA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2017-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "254403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "430065755",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN MEDICAID",
            "identifier": "104341115",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2181508",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.