Active NPI
Melinda L Cerra, A.R.N.P.
- Family Nurse Practitioner
- Shawnee Mission, KS
National Provider Identifier
1679655013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 45187
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 45187 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Shawnee Mission, KS
- NPI 1598970790
-
- Family Medicine Physician
- Merriam, KS
- NPI 1992735690
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
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.