Melanie Kolmetz
Individual provider Active NPI Family Nurse Practitioner · Bonifay, FL
NPI 1700617065 · NPPES record last updated Aug 9, 2024
Key facts
- NPI
- 1700617065
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN11034257 (FL)
- Practice address
- 603 Scenic Hill Circle
Bonifay, FL 32425-3060 - Phone
- (850) 547-8500
- NPI assigned
- Aug 9, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241212001718 | FL | Practitioner - Nurse Practitioner | 7517493687 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Department of Health | Current |
Accepting new patients | |
| Florida Department of Health | Current |
Accepting new patients | |
| Florida Department of Health | Current |
Accepting new patients |
Locations
603 Scenic Circle Dr
Bonifay, FL 32425
Phone (850) 547-3691
1338 South Blvd
Chipley, FL 32428
Phone (850) 638-6240
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11034257 | FL | Yes |
Addresses
Primary practice location
603 Scenic Hill Circle
Bonifay, FL 32425-3060
Mailing address
3010 Dawkins St
Vernon, FL 32462-2200
Phone (850) 849-3019
Other practice location 1
1338 South Blvd
Chipley, FL 32428-1846
Phone (850) 638-6240
Other providers in Bonifay, FL
- Osama Shuaib Ismail
- Kaci Johnson
- Karen Gail Smith Johnson
- Johnsons Pharmacy LLC
- Michael Dee Kennedy
- Misty Kolmetz
- Holly Langford
- Karen Leitner
- Life Management Center of Northwest Florida Inc
- Elizabeth H Lolley
All providers in Bonifay, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.