Individual provider Active NPI

Robert Mellott Jr., FNP-BC

  • Family Nurse Practitioner
  • East Liverpool, OH
National Provider Identifier
1700662756
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0034843 Issued in OH
Practice address
425 W 5TH St
East Liverpool, OH 43920-2405
Phone
(330) 385-7200
NPI assigned
Sep 6, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0034843 OH Primary

Addresses

Primary practice location

425 W 5TH St
East Liverpool, OH 43920-2405

Mailing address

101 Roseland St
Follansbee, WV 26037-1645
Phone (304) 914-1238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240115000806 OH Practitioner - Nurse Practitioner 7416309570 Reassigns benefits to 2 organizations
I20260619000533 WV Practitioner - Nurse Practitioner 7416309570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
River Valley Physicians LLCGroup PAC ID 3971506932, 56 clinicians

Practice addresses (Care Compare)

425 W 5TH St
East Liverpool, OH 43920-2405
Phone (330) 385-2926

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0034843OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hles of Ohio Inc CurrentSince Nov 18, 2023 Accepting new patients
River Valley Physicians, LLC CurrentSince Jan 1, 2024 Accepting new patients
Hles of Ohio, Inc. Current Accepting new patients
Hles of Ohio Inc CurrentSince Nov 18, 2023 Accepting new patients
Openloop Healthcare Partners PC Past Accepting new patients

Locations

1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919

425 W 5th St
East Liverpool, OH 43920
Phone (330) 385-7200

425 W 5th St
Fl 6
East Liverpool, OH 43920
Phone (330) 386-2047

15655 State Route 170
Ste H
East Liverpool, OH 43920
Phone (330) 932-0183

15655 State Route 170
Ste B
East Liverpool, OH 43920
Phone (330) 386-3610

Interoperability endpoints

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

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.

Hospital & facility affiliations 1

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": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1700662756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ROSELAND ST",
            "city": "FOLLANSBEE",
            "state": "WV",
            "postal_code": "260371645",
            "telephone_number": "304-914-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W 5TH ST",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439202405",
            "telephone_number": "330-385-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLOTT",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0034843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Liverpool, OH

Sources for this page

Verify at the official NPI Registry.