Individual provider Active NPI

Melanie Joyce Bish, FNP-C

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1710662960
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AC005587 Issued in MD
Practice address
4660 Wilkens Ave Ste 205
Baltimore, MD 21229-4846
Phone
(410) 650-4121
NPI assigned
Jun 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X AC005587 MD
Family Nurse Practitioner 363LF0000X AC005587 MD Primary

Addresses

Primary practice location

4660 Wilkens Ave Ste 205
Baltimore, MD 21229-4846

Mailing address

6221 Free Stone CT
Columbia, MD 21045-4401
Phone (850) 876-9664

Other practice location 1

1380 Progress Way Ste 112
Eldersburg, MD 21784-6499
Phone (410) 650-4121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AC005587MDMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1710662960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 FREE STONE CT",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210454401",
            "telephone_number": "850-876-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 WILKENS AVE STE 205",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212294846",
            "telephone_number": "410-650-4121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1380 Progress Way Ste 112",
            "address_purpose": "LOCATION",
            "city": "Eldersburg",
            "state": "MD",
            "postal_code": "217846499",
            "country_code": "US",
            "telephone_number": "410-650-4121",
            "fax_number": "877-763-4971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISH",
        "first_name": "MELANIE",
        "middle_name": "JOYCE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MD",
            "license": "AC005587",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC005587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.