Individual provider Active NPI

Melissa Duran Kramer, FNP

  • Primary Care Nurse Practitioner
  • Upland, CA
National Provider Identifier
1780447706
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95026891 Issued in CA
Practice address
350 S Euclid Ave Ste C
Upland, CA 91786-6665
Phone
(909) 591-6575
NPI assigned
Feb 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 95026891 CA Primary

Addresses

Primary practice location

350 S Euclid Ave Ste C
Upland, CA 91786-6665

Mailing address

6858 Moonflower CT
Eastvale, CA 92880-3839
Phone (909) 217-4093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240603003475 CA Practitioner - Nurse Practitioner 6204378490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grobler Enterprises IncGroup PAC ID 7012060189, 3 clinicians

Practice addresses (Care Compare)

350 S Euclid Ave
Suite C
Upland, CA 91786-6665
Phone (909) 591-6575

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95026891CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grobler Enterprises Inc CurrentSince Jun 14, 2024 Accepting new patients

Locations

5562 Philadelphia St
Ste 201
Chino, CA 91710
Phone (909) 614-4412

1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810

350 S Euclid Ave
Ste C
Upland, CA 91786
Phone (909) 591-6575

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": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1780447706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6858 MOONFLOWER CT",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928803839",
            "telephone_number": "909-217-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S EUCLID AVE STE C",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866665",
            "telephone_number": "909-591-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "MELISSA",
        "middle_name": "DURAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95026891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.