Individual provider Active NPI

Melinda Payton, CRNP

  • Nurse Practitioner
  • Goldsboro, MD
National Provider Identifier
1669943148
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R186631 Issued in MD
Practice address
316 Railroad Ave
Goldsboro, MD 21636-1126
Phone
(410) 634-2380
Fax
(833) 908-2287
NPI assigned
Dec 10, 2018
Last updated
Oct 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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 R186631 MD Primary

Addresses

Primary practice location

316 Railroad Ave
Goldsboro, MD 21636-1126

Mailing address

316 Railroad Ave
Goldsboro, MD 21636-1126
Phone (410) 634-2380

Other names 1

  • Melinda Tucker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20190123001362 MD Practitioner - Nurse Practitioner 7810234291 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

Practice addresses (Care Compare)

316 Railroad Ave
Goldsboro, MD 21636-1126
Phone (410) 634-2380

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Choptank Community Health System Inc CurrentSince Dec 17, 2018 Accepting new patients
Choptank Community Health System Inc CurrentSince Dec 17, 2018 Accepting new patients
Choptank Community Health System Inc Past Accepting new patients

Locations

503 Muir St
Ste A
Cambridge, MD 21613
Phone (410) 228-4045

301 Randolph St
Denton, MD 21629
Phone (410) 479-8346

316 Railroad Ave
Goldsboro, MD 21636
Phone (410) 482-2224

Interoperability endpoints

  • Direct secure messaging: melinda.payton.1@20853.direct.athenahealth.com

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.

Hospital & facility affiliations 5

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": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1669943148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 RAILROAD AVE",
            "city": "GOLDSBORO",
            "state": "MD",
            "postal_code": "216361126",
            "telephone_number": "410-634-2380",
            "fax_number": "833-908-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 RAILROAD AVE",
            "city": "GOLDSBORO",
            "state": "MD",
            "postal_code": "216361126",
            "telephone_number": "410-634-2380",
            "fax_number": "833-908-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYTON",
        "first_name": "MELINDA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-10",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R186631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELINDA",
            "last_name": "TUCKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Goldsboro, MD

Sources for this page

Verify at the official NPI Registry.