Individual provider Active NPI

Melinda L Cerra, A.R.N.P.

  • Family Nurse Practitioner
  • Shawnee Mission, KS
National Provider Identifier
1679655013
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
45187 Issued in KS
Practice address
7301 E Frontage Rd
Suite 100
Shawnee Mission, KS 66204-1654
Phone
(913) 384-4040
Fax
(913) 384-4093
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 45187 KS Primary

Addresses

Primary practice location

7301 E Frontage Rd
Suite 100
Shawnee Mission, KS 66204-1654

Mailing address

PO Box 931288
Kansas City, MO 64193-0001
Phone (913) 789-4155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20051029000039 KS Practitioner - Nurse Practitioner 4688616410 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45187KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Mission Medical Center Inc Past Accepting new patients
Shawnee Mission Medical Center 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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Now, LLC 5 clinicians

Practice addresses (Care Compare)

22334 W 66TH St
Suite 10
Shawnee, KS 66226-3560
Phone (913) 825-0909

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679655013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931288",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641930001",
            "telephone_number": "913-789-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 E FRONTAGE RD",
            "address_2": "SUITE 100",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662041654",
            "telephone_number": "913-384-4040",
            "fax_number": "913-384-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERRA",
        "first_name": "MELINDA",
        "middle_name": "L",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "45187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee Mission, KS

Sources for this page

Verify at the official NPI Registry.