Individual provider Active NPI

Melissa Allen, NP

  • Family Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1710433537
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11007993 Issued in FL
Practice address
5460 63Rd St E Unit B
Bradenton, FL 34203-7808
Phone
(941) 202-2305
Fax
(941) 220-4688
NPI assigned
Aug 31, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209014508 IL
Family Nurse Practitioner 363LF0000X 11007993 FL Primary

Addresses

Primary practice location

5460 63Rd St E Unit B
Bradenton, FL 34203-7808

Mailing address

5460 63Rd St E Unit B
Bradenton, FL 34203-7808
Phone (941) 202-2305

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
I20211106000021 FL Practitioner - Nurse Practitioner 4183911852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5025 Ringwood MDW
Sarasota, FL 34235-2035
Phone (941) 202-4102

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209014508ILMDNurse Practitioner
11007993FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Myriad Healthcare LLC CurrentSince Jan 13, 2023 Accepting new patients
Unique Management Group PastSince Aug 5, 2021 Accepting new patients

Locations

5460 63rd St E
Unit B
Bradenton, FL 34203
Phone (941) 316-8200

6120 State Road 70 E
#11
Bradenton, FL 34203

6120 State Road 70 E
Ste 11
Bradenton, FL 34203

5025 Ringwood Mdw
Sarasota, FL 34235
Phone (941) 202-4102

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1710433537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5460 63RD ST E UNIT B",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342037808",
            "telephone_number": "941-202-2305",
            "fax_number": "941-220-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 63RD ST E UNIT B",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342037808",
            "telephone_number": "941-202-2305",
            "fax_number": "941-220-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "MELISSA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209014508",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11007993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.