Individual provider Active NPI

Melissa Marie Hirsh I, ANP-BC

  • Adult Health Nurse Practitioner
  • North Venice, FL
National Provider Identifier
1710376728
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP 9392019 Issued in FL
Practice address
102 Cipriani CT
North Venice, FL 34275-6688
Phone
(941) 929-8568
NPI assigned
Jan 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP 9392019 FL Primary

Addresses

Primary practice location

102 Cipriani CT
North Venice, FL 34275-6688

Mailing address

102 Cipriani CT
North Venice, FL 34275-6688
Phone (941) 929-8568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160603001906 FL Practitioner - Nurse Practitioner 3971893819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3021 Border Rd
Venice, FL 34292-1701
Phone (941) 929-8568

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP 9392019FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NP House Calls, PLLC Adult Health CurrentSince May 30, 2017 Accepting new patients

Locations

950 Pinebrook Rd
Venice, FL 34285
Phone (941) 484-8801

19985 Market Way
Venice, FL 34293
Phone (941) 584-8320

2901 Jacaranda Blvd
Venice, FL 34293
Phone (941) 205-2180

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 3

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": "1421193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1710376728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 CIPRIANI CT",
            "city": "NORTH VENICE",
            "state": "FL",
            "postal_code": "342756688",
            "telephone_number": "941-929-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 CIPRIANI CT",
            "city": "NORTH VENICE",
            "state": "FL",
            "postal_code": "342756688",
            "telephone_number": "941-929-8568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSH",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "credential": "ANP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP 9392019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Venice, FL

Sources for this page

Verify at the official NPI Registry.