Melissa Lynn Holtz, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN.341647 Issued in OH

Practice address

5172 Leavitt Rd
Lorain, OH 44053-2384

Phone

(440) 282-7420

Fax

(440) 282-9855

NPI assigned

Mar 20, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nurse Practitioner

Education

University of Cincinnati College of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatologists of Southwestern Ohio, LLCGroup PAC ID 7113973041, 116 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Magruder Hospital Hospital, Port Clinton, OH, CCN 361314

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Dermatologists of Southwestern Ohio, LLC.

  • Dermatology Physician
  • Dayton, OH
  • NPI 1801819883
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• H.B. Magruder Memorial Hospital

  • Critical Access Hospital
  • Port Clinton, OH
  • NPI 1922079532
  Care Compare affiliation

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

{
    "created_epoch": "1458432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1679934590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 LAKE FOREST DR",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441402513",
            "telephone_number": "440-320-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5172 LEAVITT RD",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440532384",
            "telephone_number": "440-282-7420",
            "fax_number": "440-282-9855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33100 Cleveland Clinic Blvd",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "OH",
            "postal_code": "440111390",
            "country_code": "US",
            "telephone_number": "440-695-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLTZ",
        "first_name": "MELISSA",
        "middle_name": "LYNN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-20",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "RN.341647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Marie Holcomb, OTR/L
• Wes J Holiday, D.O
• Amanda Holland
• Amber Hollingsworth
• Aimee Holmes, C.N.M.
• Home Health Dynamics, LLC
• Home Health Specializing With Pediatrics
• Danielle N Hommel, CDCA
• Jordan Hoover, QMHS
• Katharine Hoover

• Nurse Practitioner in Lorain, OH
• Providers in Lorain, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.

Verify at the official NPI Registry.