Individual provider Active NPI

Melanie Fletcher

  • Physician Assistant
  • Hollywood, FL
National Provider Identifier
1780277426
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9115053 Issued in FL
Practice address
11011 Sheridan St Ste 109
Hollywood, FL 33026-1501
Phone
(954) 961-8400
Fax
(954) 961-8401
NPI assigned
Feb 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9115053 FL Primary

Addresses

Primary practice location

11011 Sheridan St Ste 109
Hollywood, FL 33026-1501

Mailing address

9500 S Dadeland Blvd Ste 200
Miami, FL 33156-2866
Phone (786) 530-3820

Other practice location 1

4170 City Ave
Philadelphia, PA 19131-1610
Phone (215) 871-6100

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Philadelphia

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
I20211210000960 FL Practitioner - Physician Assistant 8921498734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastro Health, LLCGroup PAC ID 2365440567, 246 clinicians

Practice addresses (Care Compare)

11011 Sheridan St
Suite 109
Hollywood, FL 33026-1501
Phone (954) 961-8400

3661 S Miami Ave
Miami, FL 33133-4214
Phone (305) 856-7333

4675 Linton Blvd
Delray Beach, FL 33445-6615

4700 Sheridan St
Hollywood, FL 33021-3416

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.04 of 100Reported as group
Quality
65.4
Promoting interoperability
98
Improvement activities
40
Cost
76.41

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gastro Health, LLC CurrentSince Dec 1, 2021 Accepting new patients
Galloway Anesthesia Associates LLC Past Accepting new patients

Locations

4675 Linton Blvd
Ste 202
Delray Beach, FL 33445
Phone (561) 495-5700

11011 Sheridan St
Ste 109
Hollywood, FL 33026
Phone (954) 431-7724

9500 S Dadeland Blvd
Ste 200
Miami, FL 33156
Phone (786) 530-3820

3661 S Miami Ave
Ste 907
Miami, FL 33133
Phone (305) 856-7333

7243 Della Dr
Orlando, FL 32819
Phone (407) 381-7366

Interoperability endpoints

  • Direct secure messaging: melanie.fletcher@gastrohealth.eclinicaldirectplus.com

Organizations & group practices 3

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 4

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": "1613174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1780277426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 S DADELAND BLVD STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562866",
            "telephone_number": "786-530-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11011 SHERIDAN ST STE 109",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330261501",
            "telephone_number": "954-961-8400",
            "fax_number": "954-961-8401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4170 City Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191311610",
            "country_code": "US",
            "telephone_number": "215-871-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "MELANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-13",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9115053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Philadelphia",
            "affiliation": "N",
            "address_1": "4170 City Ave",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191311610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.