Individual provider Active NPI

Shelly Lynn Melody, FNP

  • Nurse Practitioner
  • Sequim, WA
National Provider Identifier
1659134583
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61526037 Issued in WA
Practice address
558 N 5TH Ave
Sequim, WA 98382-3079
Phone
(360) 681-6900
Fax
(360) 681-6222
NPI assigned
Feb 2, 2024
Last updated
Feb 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP61526037 WA Primary

Addresses

Primary practice location

558 N 5TH Ave
Sequim, WA 98382-3079

Mailing address

1895 Redwood Dr
Port Orchard, WA 98366-5000
Phone (808) 589-9166

Other names 1

  • Shelly Lynn Barrett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20240311000070 WA Practitioner - Nurse Practitioner 9537505797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Eye and Skin Surgeons Inc PSGroup PAC ID 0648341032, 3 clinicians

Practice addresses (Care Compare)

558 N 5TH Ave
Sequim, WA 98382-3079
Phone (360) 681-6900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61526037WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Eye & Skin Surgeons Inc PS CurrentSince Feb 6, 2024 Accepting new patients

Locations

558 N 5th Ave
Sequim, WA 98382
Phone (360) 681-6900

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1706832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1659134583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 REDWOOD DR",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983665000",
            "telephone_number": "808-589-9166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 N 5TH AVE",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823079",
            "telephone_number": "360-681-6900",
            "fax_number": "360-681-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELODY",
        "first_name": "SHELLY",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-02-02",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61526037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLY",
            "last_name": "BARRETT",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sequim, WA

Sources for this page

Verify at the official NPI Registry.