Active NPI
Melissa Ann Scrivner, NP
- Gerontology Nurse Practitioner
- Arlington, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 1012565
- 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
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 |
|---|---|---|---|---|
| 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, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1012565 | TX | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Clinic of North Texas, PLLC | Current | Accepting new patients | |
| Post Acute Medical PLLC | Current | Accepting new patients | |
| Inpatient Physician Associates PLLC | Current | Accepting new patients | |
| Altea Medical Washington PLLC | Current | Accepting new patients | |
| Medical Clinic of North Texas PLLC | Current | 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
- 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.
-
- Internal Medicine Physician
- Arlington, TX
- NPI 1033167234
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham, MD
- NPI 1730713025
WA
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1285696898
-
- Geriatric Medicine (Internal Medicine) Physician
- Everett, WA
- NPI 1609655497
-
- Radiation Oncology Clinic/Center
- Arlington, TX
- NPI 1184131625
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.