Individual provider Active NPI

Melanie Frances Mosher, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Erie, PA
National Provider Identifier
1679280051
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP026561 Issued in PA
Practice address
4740 Peach St
Erie, PA 16509-2008
Phone
(814) 454-3174
Fax
(814) 616-8002
NPI assigned
Nov 3, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X SP026561 PA Primary

Addresses

Primary practice location

4740 Peach St
Erie, PA 16509-2008

Mailing address

1 Lecom PL
Erie, PA 16505-2571
Phone (814) 868-2529

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20230228000025 PA Practitioner - Nurse Practitioner 2264805936 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP026561PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Millcreek Community Hospital Single Specialty Current Accepting new patients
Millcreek Community Hospital Single Specialty CurrentSince Jan 1, 2023 Accepting new patients
Medical Associates of Erie Single Specialty CurrentSince Jan 1, 2023 Accepting new patients
Medical Associates of Erie Single Specialty Current Accepting new patients
Millcreek Community Hospital Psychiatric/Mental Health CurrentSince Mar 13, 2026 Accepting new patients
Millcreek Community Hospital Single Specialty CurrentSince Jan 1, 2023 Accepting new patients
Millcreek Community Hospital Single Specialty CurrentSince Jan 1, 2023 Accepting new patients
Millcreek Community Hospital Single Specialty CurrentSince Jan 1, 2023 Accepting new patients
Medical Associates of Erie CurrentSince Jan 1, 2023 Accepting new patients

Locations

2625 Parade St
Erie, PA 16504
Phone (814) 452-6383

1 Lecom Pl
Erie, PA 16505

4740 Peach St
Erie, PA 16509
Phone (814) 454-3174

2222 W Grandview Blvd
Erie, PA 16506
Phone (814) 454-3174

537 W 18th St
Erie, PA 16502
Phone (814) 454-3174

537 W 18th St
#18
Erie, PA 16502
Phone (814) 456-1009

2000 W Grandview Blvd
Erie, PA 16509
Phone (814) 868-1001

5515 Peach St
Erie, PA 16509
Phone (814) 864-4031

Organizations & group practices 9

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": "1667433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1679280051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LECOM PL",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165052571",
            "telephone_number": "814-868-2529",
            "fax_number": "814-868-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165092008",
            "telephone_number": "814-454-3174",
            "fax_number": "814-616-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSHER",
        "first_name": "MELANIE",
        "middle_name": "FRANCES",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-03",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP026561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.