Active NPI
Melissa Mae Pietras, PA-C
- Physician Assistant
- Fort Belvoir, VA
National Provider Identifier
1669601282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601005352
- Practice address
- Fort Belvoir Community Hospital
9300 Dewitt Loop
Fort Belvoir, VA 22060 - Phone
- (571) 231-3224
- NPI assigned
- Jul 2, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | C0005879 | MD | |
| Physician Assistant | 363A00000X | 5601005352 | MI | Primary |
Addresses
Primary practice location
Fort Belvoir Community Hospital
9300 Dewitt Loop
Fort Belvoir, VA 22060
Mailing address
3109 Waterside LN
Alexandria, VA 22309-2131
Phone (616) 826-1886
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3539 | CO | MD | Psychologist |
| C0005879 | MD | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Michigan Cardiothoracic Surgeons PLC | Past | Accepting new patients | |
| Hastings Emergency Physicians PLC | Medical | Past | Accepting new patients |
| Spectrum Health Primary Care Partners | Past | Accepting new patients |
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 and National Provider Directory roles.
-
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- Grand Rapids, MI
- NPI 1235188673
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Grand Rapids, MI
- NPI 1487626271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563408000000",
"number": "1669601282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3109 WATERSIDE LN",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223092131",
"telephone_number": "616-826-1886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FORT BELVOIR COMMUNITY HOSPITAL",
"address_2": "9300 DEWITT LOOP",
"city": "FORT BELVOIR",
"state": "VA",
"postal_code": "22060",
"telephone_number": "571-231-3224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIETRAS",
"first_name": "MELISSA",
"middle_name": "MAE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-02",
"last_updated": "2019-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MD",
"license": "C0005879",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601005352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Belvoir, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.