Melodie G. Gill, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95015089 Issued in CA

Practice address

4215 Front St
Shasta Lake, CA 96019-9430

Phone

(530) 276-9168

NPI assigned

Dec 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: melodie.gillnp.p1@direct.schc.nextgenshare.com

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.

• Shasta Community Health Center

  dba Shasta Community Telemedicine and Training Center

  • Federally Qualified Health Center (FQHC)
  • Redding, CA
  • NPI 1114533171
  Medicare reassignment NPD
• Shasta Community Health Center

  dba Shasta Community Health Center Urgent Care

  • Federally Qualified Health Center (FQHC)
  • Redding, CA
  • NPI 1356815542
  NPD
• Shasta Community Health Center

  dba Shasta Community Health Center - Hope Van 2 - HOPE

  • Federally Qualified Health Center (FQHC)
  • Redding, CA
  • NPI 1952328403
  NPD
• Low Cost RX Inc

  • Community/Retail Pharmacy
  • Indianapolis, IN
  • NPI 1194876094
  NPD (past)
• Mindgent Healthcare Clinics, LLC

  • Nurse Practitioner
  • Indianapolis, IN
  • NPI 1598716524
  NPD (past)
• Pain Management Center of Southern Indiana

  • Pain Medicine Physician
  • New Albany, IN
  • NPI 1720222862
  NPD (past)
• Pain Management Center of Southern Indiana, Inc.

  • Multi-Specialty Clinic/Center
  • Bloomington, IN
  • NPI 1629063797
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1780748194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 PLACER ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011170",
            "telephone_number": "530-346-5710",
            "fax_number": "530-245-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 FRONT ST",
            "city": "SHASTA LAKE",
            "state": "CA",
            "postal_code": "960199430",
            "telephone_number": "530-276-9168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1703 W Stones Crossing Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461438558",
            "country_code": "US",
            "telephone_number": "317-781-7188",
            "fax_number": "317-781-7140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILL",
        "first_name": "MELODIE",
        "middle_name": "G.",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71002268A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95015089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200846030",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Dinubilo, PHARM. D
• James G Earle, M.P.T., C.S.C.S.
• Samantha Enzler
• Darrin Ferguson, RN
• Rebecca Ann Fisher, LCSW
• Harold S. Budhram, MD, Inc.
• Healing Currents Counseling
• Thinh Tan Hoang, PHARM.D
• Bao Ying Huynh, RPH
• Kelsey H Jewett, O.D.

• Family Nurse Practitioner in Shasta Lake, CA
• Providers in Shasta Lake, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.