Individual provider Active NPI

Melissa Sanders, NP

  • Family Nurse Practitioner
  • Glen Mills, PA
National Provider Identifier
1700469376
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP023221 Issued in PA
Practice address
30 Lacrue Ave Ste 101
Glen Mills, PA 19342-1042
Phone
(610) 558-4800
Fax
(610) 558-4844
NPI assigned
May 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP023221 PA Primary
Family Nurse Practitioner 363LF0000X LG-0011615 DE

Addresses

Primary practice location

30 Lacrue Ave Ste 101
Glen Mills, PA 19342-1042

Mailing address

1303 Creek Rd
Cheyney, PA 19319-1016
Phone (267) 800-5170

Other practice location 1

200 Old Forge Ln Ste 203
Kennett Square, PA 19348-1920
Phone (610) 558-4800

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
I20210713000015 PA Practitioner - Nurse Practitioner 6608278791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rheumatology Care SpecialistsGroup PAC ID 3870897465, 4 clinicians

Practice addresses (Care Compare)

30 Lacrue Ave
Suite 101
Glen Mills, PA 19342-1042
Phone (610) 558-4800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LG-0011615DEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology Care Specialists CurrentSince Mar 30, 2024 Accepting new patients

Locations

30 Lacrue Ave
Ste 101
Glen Mills, PA 19342
Phone (610) 558-4800

200 Old Forge Ln
Ste 203
Kennett Square, PA 19348
Phone (610) 558-4800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CBFGDD

Organizations & group practices 1

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1700469376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 CREEK RD",
            "city": "CHEYNEY",
            "state": "PA",
            "postal_code": "193191016",
            "telephone_number": "267-800-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 LACRUE AVE STE 101",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421042",
            "telephone_number": "610-558-4800",
            "fax_number": "610-558-4844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Old Forge Ln Ste 203",
            "address_purpose": "LOCATION",
            "city": "Kennett Square",
            "state": "PA",
            "postal_code": "193481920",
            "country_code": "US",
            "telephone_number": "610-558-4800",
            "fax_number": "610-558-4844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "MELISSA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP023221",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0011615",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Mills, PA

Sources for this page

Verify at the official NPI Registry.