Individual provider Active NPI

Melissa Wolff, NP

  • Primary Care Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1730674417
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1-119025 Issued in AL
Practice address
1515 S University Blvd
Mobile, AL 36609-2958
Phone
(251) 287-8886
NPI assigned
Jun 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1-119025 AL Primary

Addresses

Primary practice location

1515 S University Blvd
Mobile, AL 36609-2958

Mailing address

1515 S University Blvd
Mobile, AL 36609-2958

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20180824002947 AL Practitioner - Nurse Practitioner 8921357864 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-119025ALMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Home Care Services, LLC CurrentSince Feb 12, 2020 Accepting new patients
Mid-South Home Care Services, LLC CurrentSince Feb 12, 2020 Accepting new patients

Locations

2431 W Main St
Ste 1102
Dothan, AL 36301
Phone (334) 699-5780

2800 Dauphin St
Ste 103
Mobile, AL 36606
Phone (251) 478-2789

2550 Acton Rd
Ste 110
Vestavia, AL 35243
Phone (205) 761-5195

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1730674417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 S UNIVERSITY BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366092958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S UNIVERSITY BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366092958",
            "telephone_number": "251-287-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFF",
        "first_name": "MELISSA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AL",
            "license": "1-119025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.