Active NPI
Melissa Duran Kramer, FNP
- Primary Care Nurse Practitioner
- Upland, CA
National Provider Identifier
1780447706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 95026891
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| 95026891 | CA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grobler Enterprises Inc | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.