Active NPI
Melinda Waters, CRNP
- Nurse Practitioner
- Philadelphia, PA
National Provider Identifier
1740515238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- UP001376H
- Practice address
- 8815 Germantown Ave
Philadelphia, PA 19118-2722 - Phone
- (215) 247-7990
- Fax
- (215) 247-1683
- NPI assigned
- Oct 16, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | UP001376H | PA | Primary |
Addresses
Primary practice location
8815 Germantown Ave
Philadelphia, PA 19118-2722
Mailing address
8815 Germantown Ave
Suite 31
Philadelphia, PA 19118-2722
Phone (215) 247-7990
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1988
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
10125 Verree Rd
Suite 202
Philadelphia, PA 19116-3674
Phone (203) 497-3861
1425 Horsham Rd
North Wales, PA 19454-1320
Phone (203) 497-3861
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| UP001376H | PA | MD | Nurse Practitioner |
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": "1255651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471478400000",
"number": "1740515238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8815 GERMANTOWN AVE",
"address_2": "SUITE 31",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191182722",
"telephone_number": "215-247-7990",
"fax_number": "215-247-1683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8815 GERMANTOWN AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191182722",
"telephone_number": "215-247-7990",
"fax_number": "215-247-1683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATERS",
"first_name": "MELINDA",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-16",
"last_updated": "2016-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "UP001376H",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.