Individual provider Active NPI

Melinda Ann Rosner, PA

  • Physician Assistant
  • Murfreesboro, TN
National Provider Identifier
1639268477
Registry record updated Sep 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
011559 Issued in NY
Practice address
1648 Memorial Blvd
Murfreesboro, TN 37129-2104
Phone
(866) 378-5362
NPI assigned
Oct 12, 2006
Last updated
Sep 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 011559 NY Primary

Addresses

Primary practice location

1648 Memorial Blvd
Murfreesboro, TN 37129-2104

Mailing address

1648 Memorial Blvd
Murfreesboro, TN 37129-2104
Phone (866) 378-5362

Other identifiers 1

IdentifierTypeStateIssuer
03369606MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20220829000164 TN Practitioner - Physician Assistant 6204933781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

1648 Memorial Blvd
Murfreesboro, TN 37129-2104
Phone (786) 408-8502

438 N Cleveland St
Memphis, TN 38104-7014
Phone (786) 408-8502

820 N Thompson LN
Murfreesboro, TN 37129-4339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
011559NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Meharry Health Network, PC CurrentSince Sep 12, 2022 Accepting new patients
Meharry Health Network, PC CurrentSince Sep 12, 2022 Accepting new patients
Lewis County General Hospital Past Accepting new patients

Locations

8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869

438 N Cleveland St
Memphis, TN 38104
Phone (866) 364-8944

1648 Memorial Blvd
Murfreesboro, TN 37129
Phone (866) 378-5362

Interoperability endpoints

  • Direct secure messaging: melinda.rosner@wwmp.eclinicaldirectplus.com
  • Direct secure messaging: mrosner@hiemail.healtheconnections.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664064000000",
    "number": "1639268477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 MEMORIAL BLVD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292104",
            "telephone_number": "866-378-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1648 MEMORIAL BLVD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292104",
            "telephone_number": "866-378-5362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSNER",
        "first_name": "MELINDA",
        "middle_name": "ANN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2022-09-25",
        "certification_date": "2022-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "011559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03369606",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.