Individual provider Active NPI

Melissa Warner Nair, PA-C

  • Medical Physician Assistant
  • Orlando, FL
National Provider Identifier
1770888489
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9105793 Issued in FL
Practice address
2501 N Orange Ave Ste 411
Orlando, FL 32804-4644
Phone
(407) 303-1373
Fax
(407) 303-0852
NPI assigned
Jan 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9105793 FL Primary

Addresses

Primary practice location

2501 N Orange Ave Ste 411
Orlando, FL 32804-4644

Mailing address

2501 N Orange Ave Ste 411
Orlando, FL 32804-4644
Phone (407) 303-1373

Other identifiers 2

IdentifierTypeStateIssuer
003682400MedicaidFL
PA9105793OtherFLMEDICAL LICENSE

Other names 1

  • Melissa A Warner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110831000730 FL Practitioner - Physician Assistant 3173793023 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Med-Psych Consultants LLCGroup PAC ID 5799115713, 20 clinicians

Practice addresses (Care Compare)

1507 S Hiawassee Rd
Suite 206
Orlando, FL 32835-5719
Phone 4074459545222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9105793FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Mar 15, 2017 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Dec 2, 2019 Accepting new patients
American Spine & Orthopaedic Institute LLC CurrentSince Dec 14, 2019 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Mar 15, 2017 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Dec 2, 2019 Accepting new patients
Orlando Cancer Center Inc Past Accepting new patients

Locations

9410 Fountain Medical Ct
Ste 201
Bonita Springs, FL 34135
Phone (239) 593-9599

525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

9964 University Blvd
Orlando, FL 32817
Phone (407) 261-2900

1400 S Orange Ave
Orlando, FL 32806
Phone (321) 841-1893

7824 Lake Underhill Rd
Ste H
Orlando, FL 32822
Phone (407) 382-6292

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

2501 N Orange Ave
Ste 411
Orlando, FL 32804
Phone (407) 303-1373

Interoperability endpoints

  • Direct secure messaging: mnair30976@orlandohealth.medalliesdirect.net

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1770888489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 N ORANGE AVE STE 411",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044644",
            "telephone_number": "407-303-1373",
            "fax_number": "407-303-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N ORANGE AVE STE 411",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044644",
            "telephone_number": "407-303-1373",
            "fax_number": "407-303-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIR",
        "first_name": "MELISSA",
        "middle_name": "WARNER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-12",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9105793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003682400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "PA9105793",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "WARNER",
            "middle_name": "A",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.