Individual provider Active NPI

Melissa Morrell, FNP

  • Family Nurse Practitioner
  • Palo Alto, CA
National Provider Identifier
1770040347
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140761 Issued in TX
Practice address
530 Lytton Ave FL 2
Palo Alto, CA 94301-1541
Phone
(141) 566-3558
NPI assigned
Mar 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP140761 TX Primary

Addresses

Primary practice location

530 Lytton Ave FL 2
Palo Alto, CA 94301-1541

Mailing address

1005 Peyton PL
Cedar Park, TX 78613-3852
Phone (985) 212-9661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190607000169 TX Practitioner - Nurse Practitioner 0840523791 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aa OBGYN PLLC Obstetrics & Gynecology CurrentSince Apr 1, 2019 Accepting new patients

Locations

12200 Renfert Way
Ste 100
Austin, TX 78758
Phone (512) 451-8211

Interoperability endpoints

  • Direct secure messaging: melissa.morrell.1@20088.direct.athenahealth.com
  • Direct secure messaging: melissa.morrell.1@17222.direct.athenahealth.com

Organizations & group practices 1

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": "1551398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1770040347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 PEYTON PL",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133852",
            "telephone_number": "985-212-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 LYTTON AVE FL 2",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943011541",
            "telephone_number": "141-566-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRELL",
        "first_name": "MELISSA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-01",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.