Individual provider Active NPI

Melissa Ann Scrivner, NP

  • Gerontology Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1760146179
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1012565 Issued in TX
Practice address
809 W Randol Mill Rd
Arlington, TX 76012-2507
Phone
(817) 460-0257
Fax
(817) 548-0607
NPI assigned
Oct 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1012565 TX Primary

Addresses

Primary practice location

809 W Randol Mill Rd
Arlington, TX 76012-2507

Mailing address

809 W Randol Mill Rd
Arlington, TX 76012-2507
Phone (817) 460-0257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211027000674 TX Practitioner - Nurse Practitioner 7416345251 Reassigns benefits to 2 organizations
I20260112003468 WA Practitioner - Nurse Practitioner 7416345251 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians
Medical Clinic of North Texas, PLLCGroup PAC ID 9830084540, 212 clinicians

Practice addresses (Care Compare)

5520 Bridgeport Way W
University Place, WA 98467-2041
Phone (877) 883-9430

809 W Randol Mill Rd
Arlington, TX 76012-2507
Phone (817) 460-0257

900 Airport Fwy
Suite 158
Hurst, TX 76054-3253
Phone (817) 514-4000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1012565TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Clinic of North Texas, PLLC CurrentSince Oct 9, 2023 Accepting new patients
Post Acute Medical PLLC CurrentSince Dec 18, 2025 Accepting new patients
Inpatient Physician Associates PLLC CurrentSince Nov 1, 2021 Accepting new patients
Altea Medical Washington PLLC CurrentSince Dec 18, 2025 Accepting new patients
Medical Clinic of North Texas PLLC CurrentSince Oct 9, 2023 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

809 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 277-7133

6901 Snider Plz
Ste 130
Dallas, TX 75205
Phone (972) 381-6690

900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000

414 17th St SE
Auburn, WA 98002
Phone (253) 320-0748

303 Telegraph Rd
Bellingham, WA 98226
Phone (360) 863-6696

2821 S Walden St
Seattle, WA 98144
Phone (206) 577-6200

6025 N Assembly St
Spokane, WA 99205
Phone (509) 326-8282

6220 S Alaska St
Tacoma, WA 98408
Phone (253) 473-2273

5520 Bridgeport Way W
University Place, WA 98467
Phone (253) 566-7166

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1760146179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 W RANDOL MILL RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122507",
            "telephone_number": "817-460-0257",
            "fax_number": "817-548-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 W RANDOL MILL RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122507",
            "telephone_number": "817-460-0257",
            "fax_number": "817-548-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCRIVNER",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-22",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1012565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.