Individual provider Active NPI

Kari Melendez, NP

  • Family Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1639640949
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024179749 Issued in VA
Practice address
1101 Sam Perry Blvd Ste 414
Fredericksburg, VA 22401-4466
Phone
(540) 899-1354
Fax
(540) 899-1359
NPI assigned
Dec 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X SP019785 PA
Nurse Practitioner 363L00000X SP019785 PA
Family Nurse Practitioner 363LF0000X 0024179749 VA Primary

Addresses

Primary practice location

1101 Sam Perry Blvd Ste 414
Fredericksburg, VA 22401-4466

Mailing address

PO Box 419402
Boston, MA 02241-9402
Phone (855) 290-1552

Other practice location 1

333 Cottman Ave
Philadelphia, PA 19111-2434
Phone (215) 728-3424

Other practice location 2

2901 Jolly Rd
Plymouth Meeting, PA 19462-2324
Phone (610) 272-8221

Other practice location 3

3401 N Broad St
Philadelphia, PA 19140-5103
Phone (215) 707-3326

Other identifiers 2

IdentifierTypeStateIssuer
SP019785OtherPASTATE LICENSE
0024179749OtherVASTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kari.melendez@upmcdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190305002625 PA Practitioner - Nurse Practitioner 1951640101 Reassigns benefits to 2 organizations
I20200812002356 VA Practitioner - Nurse Practitioner 1951640101 Reassigns benefits to 1 organization

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
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

200 Lothrop St
Pittsburgh, PA 15213-2536

815 Freeport Rd
Pittsburgh, PA 15215-3399
Phone (412) 784-4396

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP019785PAMDNurse Practitioner
0024179749VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Jan 16, 2025 Accepting new patients
Pathology Associates of Fredericksburg PTR Current Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Apr 17, 2019 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Apr 17, 2019 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Aug 17, 2020 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jan 16, 2025 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Aug 17, 2020 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients

Locations

2450 W Hunting Park Ave
Philadelphia, PA 19129
Phone (215) 707-2433

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

333 Cottman Ave
Philadelphia, PA 19111
Phone (215) 728-3893

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

815 Freeport Rd
Pittsburgh, PA 15215
Phone (412) 784-4000

1101 Sam Perry Blvd
Ste 414
Fredericksburg, VA 22401
Phone (540) 899-1354

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

Organizations & group practices 10

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": "1544659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1639640949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419402",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022419402",
            "telephone_number": "855-290-1552",
            "fax_number": "866-787-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 SAM PERRY BLVD STE 414",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014466",
            "telephone_number": "540-899-1354",
            "fax_number": "540-899-1359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Cottman Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191112434",
            "country_code": "US",
            "telephone_number": "215-728-3424",
            "fax_number": "215-728-2773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2901 Jolly Rd",
            "address_purpose": "LOCATION",
            "city": "Plymouth Meeting",
            "state": "PA",
            "postal_code": "194622324",
            "country_code": "US",
            "telephone_number": "610-272-8221",
            "fax_number": "610-272-5655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3401 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191405103",
            "country_code": "US",
            "telephone_number": "215-707-3326",
            "fax_number": "215-707-8028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELENDEZ",
        "first_name": "KARI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-13",
        "last_updated": "2025-01-15",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "SP019785",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP019785",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024179749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "SP019785",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0024179749",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kari.melendez@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.