Gretchen Melburg, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

365787 Issued in CA

Practice address

760 Cypress Ave Ste 110
Redding, CA 96001-2743

Phone

(530) 768-9490

Fax

(650) 653-2150

NPI assigned

Sep 6, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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: gretchen.melburg.p3@direct.smmg.nextgenshare.com

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.

• Wellness Family Medicine, PC

  • Health Service Clinic/Center
  • Redding, CA
  • NPI 1194484600

  Family

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1790066686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 KNOLLCREST DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020104",
            "telephone_number": "530-768-9490",
            "fax_number": "530-653-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 CYPRESS AVE STE 110",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012743",
            "telephone_number": "530-768-9490",
            "fax_number": "650-653-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELBURG",
        "first_name": "GRETCHEN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-06",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "365787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790066686",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medical Social Services Consultation, Inc
• Vladimir Yamane Medina, MD
• Shahriar Mehrvarzi, DDS
• Charles I Meinershagen, DDS
• Leticia B Mejia
• Sierra Melendez, AU.D.
• Ryan Meller, M.D.
• Francis M Mello Jr.
• Kyle William Melnick, MSW
• Brenna Danielle Melvin, AU.D.

• Family Nurse Practitioner in Redding, CA
• Providers in Redding, 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 Jan 18, 2022; 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.