Individual provider Active NPI

Melissa M. Lees, APRN, FNP-BC

  • Family Nurse Practitioner
  • Charleston, WV
National Provider Identifier
1790264554
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN78413-FNP-BC Issued in WV
Practice address
210 Brooks St Ste 200
Charleston, WV 25301-1848
Phone
(304) 388-1930
Fax
(304) 388-1929
NPI assigned
Aug 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN78413-FNP-BC WV Primary

Addresses

Primary practice location

210 Brooks St Ste 200
Charleston, WV 25301-1848

Mailing address

210 Brooks St Ste 200
Charleston, WV 25301-1848
Phone (304) 388-1930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181024001306 WV Practitioner - Nurse Practitioner 6002169877 Reassigns benefits to 1 organization
I20210224000312 FL Practitioner - Nurse Practitioner 6002169877 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center, Inc. Current Accepting new patients
Memon Health Associates, LLC CurrentSince Feb 22, 2021 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Sep 1, 2018 Accepting new patients
Tampa General Hospital Current Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Sep 1, 2018 Accepting new patients

Locations

1236 Kingsway Rd
Brandon, FL 33510
Phone (813) 616-8810

12950 Race Track Rd
Ste 106
Tampa, FL 33626
Phone (813) 616-8810

210 Brooks St
Ste 200
Charleston, WV 25301
Phone (304) 388-1930

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

Interoperability endpoints

  • Direct secure messaging: mlees194873@direct.tgh.org
  • FHIR API: https://api.platform.athenahealth.com/12589/brand/1/csg/1/fhir/r4
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 5

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": "1534032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1790264554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 BROOKS ST STE 200",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011848",
            "telephone_number": "304-388-1930",
            "fax_number": "304-388-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 BROOKS ST STE 200",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011848",
            "telephone_number": "304-388-1930",
            "fax_number": "304-388-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEES",
        "first_name": "MELISSA",
        "middle_name": "M.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-12",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN78413-FNP-BC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.