Jennifer L Melillo, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024169372 Issued in VA

Practice address

6275 E Virginia Beach Blvd Ste 300
Norfolk, VA 23502-2851

Phone

(757) 961-0606

Fax

(757) 233-8499

NPI assigned

Dec 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

City of ChesapeakeGroup PAC ID 6204885601, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• City of Chesapeake

  • Community/Behavioral Health Agency
  • Chesapeake, VA
  • NPI 1073650099
  Medicare reassignment Care Compare group NPD
• Empowerment Counseling Center LLC

  • Clinical Social Worker
  • Chesapeake, VA
  • NPI 1538503750

  Psychiatric/Mental Health

  Medicare reassignment NPD
• City of Chesapeake

  • Ambulance
  • Chesapeake, VA
  • NPI 1659385938
  NPD
• Parker Schlichter & Associates

  • Mental Health Counselor
  • Norfolk, VA
  • NPI 1811923295
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1629139878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6275 E VIRGINIA BEACH BLVD STE 300",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235022851",
            "telephone_number": "757-961-0606",
            "fax_number": "757-233-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6275 E VIRGINIA BEACH BLVD STE 300",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235022851",
            "telephone_number": "757-961-0606",
            "fax_number": "757-233-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELILLO",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001160085",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024169372",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024169372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629139878",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Meier, ATC
• John Mein, LPC
• Barbara Mekkes, RD
• Jessica L Melendez, LCSW
• Thomas Mark Melevsky, DMD
• Kyle Melling, DO
• Cara Mae Melton
• Melvin R Morrison DDS LTD
• Walter L Melvin, DMD
• Theresa Ann Menachery

• Psychiatric/Mental Health Nurse Practitioner in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.

Verify at the official NPI Registry.