Individual provider Active NPI

Melinda J Talbert, FNP-BC

  • Nurse Practitioner
  • South Lyon, MI
National Provider Identifier
1699329060
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704224058 Issued in MI
Practice address
9755 Annabelle CT
South Lyon, MI 48178-9185
Phone
(734) 787-9045
NPI assigned
Jul 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 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 4704224058 MI Primary

Addresses

Primary practice location

9755 Annabelle CT
South Lyon, MI 48178-9185

Mailing address

9755 Annabelle CT
South Lyon, MI 48178-9185
Phone (734) 787-9045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20240131000586 MI Practitioner - Nurse Practitioner 7719330307 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stay Home Wound Care PCGroup PAC ID 2365982949, 3 clinicians
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians

Practice addresses (Care Compare)

26200 Town Ctr Dr
Suite 165
Novi, MI 48375-1219
Phone (248) 228-0541

5025 Ann Arbor Rd
Jackson, MI 49201-8801
Phone (517) 879-1505

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Premier Hospice Care LLC Current Accepting new patients
Stay Home Wound Care PC CurrentSince Sep 10, 2025 Accepting new patients
Encore Geriatrics PLLC CurrentSince Jan 26, 2024 Accepting new patients
Theoria Medical Nurse Practitioner CurrentSince May 1, 2025 Accepting new patients
Complexcare Medical Group Midwest H PLLC CurrentSince Aug 31, 2025 Accepting new patients

Locations

200 N Canton Center Rd
Canton, MI 48187
Phone (734) 656-8883

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

6700 W Outer Dr
Detroit, MI 48235
Phone (313) 836-1700

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

703 Robinson Rd
Jackson, MI 49203
Phone (517) 787-0722

2100 Park Rd
Jackson, MI 49203
Phone (517) 780-4019

520 Main St
#M
Manistique, MI 49854
Phone (906) 341-6921

26200 Town Center Dr
Ste 165
Novi, MI 48375
Phone (248) 228-0541

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

Organizations & group practices 6

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": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1699329060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9755 ANNABELLE CT",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481789185",
            "telephone_number": "734-787-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9755 ANNABELLE CT",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481789185",
            "telephone_number": "734-787-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALBERT",
        "first_name": "MELINDA",
        "middle_name": "J",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704224058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lyon, MI

Sources for this page

Verify at the official NPI Registry.