Individual provider Active NPI

Melanie Liberatore, NP-C

  • Family Nurse Practitioner
  • Collegeville, PA
National Provider Identifier
1730993445
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP032145 Issued in PA
Practice address
137 Olympic Rd
Collegeville, PA 19426-2953
Phone
(610) 960-7653
NPI assigned
Feb 3, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN655311 PA
Family Nurse Practitioner 363LF0000X SP032145 PA Primary

Addresses

Primary practice location

137 Olympic Rd
Collegeville, PA 19426-2953

Mailing address

137 Olympic Rd
Collegeville, PA 19426-2953
Phone (610) 960-7653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250407001488 PA Practitioner - Nurse Practitioner 3779007208 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN655311PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Encore Clinical Services - PA LLC CurrentSince Apr 1, 2025 Accepting new patients
Rd Medical Professional Services PC CurrentSince Mar 1, 2025 Accepting new patients
Renew Wound Care of Pennsylvania LLC CurrentSince Aug 18, 2025 Accepting new patients

Locations

1481 McDonald Ave
Brooklyn, NY 11230
Phone (347) 479-1110

200 Rittenhouse Cir
Ste 4
Bristol, PA 19007
Phone (267) 225-1295

8410 Roosevelt Blvd
Philadelphia, PA 19152
Phone (215) 708-1200

650 Edison Ave
Philadelphia, PA 19116
Phone (215) 673-5700

1104 Welsh Rd
Philadelphia, PA 19115
Phone (215) 676-7191

9501 State Rd
Philadelphia, PA 19114
Phone (215) 632-5700

Organizations & group practices 3

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": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1730993445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 OLYMPIC RD",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194262953",
            "telephone_number": "610-960-7653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 OLYMPIC RD",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194262953",
            "telephone_number": "610-960-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBERATORE",
        "first_name": "MELANIE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN655311",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP032145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collegeville, PA

Sources for this page

Verify at the official NPI Registry.