Individual provider Active NPI

Brianna Shannon Melson, N.P.

  • Adult Health Nurse Practitioner
  • Salem, MA
National Provider Identifier
1780022517
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN2281354 Issued in MA
Practice address
81 Highland Ave
Medical Office BLDG Suite 316
Salem, MA 01970-2714
Phone
(978) 741-1200
NPI assigned
Jun 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2281354 MA
Adult Health Nurse Practitioner 363LA2200X RN2281354 MA Primary

Addresses

Primary practice location

81 Highland Ave
Medical Office BLDG Suite 316
Salem, MA 01970-2714

Mailing address

55 Highland Avenue
Suite 104
Salem, MA 01970
Phone (978) 745-4489

Other names 1

  • Brianna Shannon Jancsy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20131105000898 MA Practitioner - Nurse Practitioner 0446485106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

55 Highland Ave
Suite 104
Salem, MA 01970-2100
Phone (978) 745-4489

Hospital & facility affiliations

  • North Shore Medical Center - Hospital, Salem, MA, CCN 220035
  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2281354MAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Pulmonary Associates, Inc CurrentSince Apr 16, 2020 Accepting new patients

Locations

55 Highland Ave
Ste 104
Salem, MA 01970
Phone (978) 745-4489

Interoperability endpoints

  • Direct secure messaging: jancsy.brianna.nsmc@direct.partners.masshiway.net

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1780022517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HIGHLAND AVENUE",
            "address_2": "SUITE 104",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "01970",
            "telephone_number": "978-745-4489",
            "fax_number": "978-741-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 HIGHLAND AVE",
            "address_2": "MEDICAL OFFICE BLDG SUITE 316",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702714",
            "telephone_number": "978-741-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELSON",
        "first_name": "BRIANNA",
        "middle_name": "SHANNON",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-14",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2281354",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN2281354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNA",
            "last_name": "JANCSY",
            "middle_name": "SHANNON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salem, MA

Sources for this page

Verify at the official NPI Registry.