Individual provider Active NPI

Melanie Denise Pereira, RN2289554

  • Psychiatric/Mental Health Nurse Practitioner
  • Hyannis, MA
National Provider Identifier
1790472546
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2289554 Issued in MA
Practice address
1019 Iyannough Rd
Hyannis, MA 02601-1839
Phone
(508) 862-8061
Fax
(508) 862-8064
NPI assigned
Apr 21, 2023
Last updated
Jun 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2289554 MA Primary

Addresses

Primary practice location

1019 Iyannough Rd
Hyannis, MA 02601-1839

Mailing address

1188 County St
Somerset, MA 02726-5140
Phone (508) 281-1064

Other practice location 1

91 Carver Rd
Plymouth, MA 02360-4685
Phone (774) 283-6500

Other practice location 2

1188 County St
Somerset, MA 02726-5140
Phone (508) 281-1064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240604001445 MA Practitioner - Nurse Practitioner 4183166333 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2289554MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Solta Wellness Psychiatric/Mental Health Current Accepting new patients
Vinfen Corporation CurrentSince Apr 22, 2024 Accepting new patients
Good Hope Wellness Incorporated Psychiatric/Mental Health CurrentSince Jul 19, 2024 Accepting new patients

Locations

950 Cambridge St
Cambridge, MA 02141
Phone (617) 441-1743

91 Carver Rd
Plymouth, MA 02360
Phone (508) 746-4601

1188 County St
Somerset, MA 02726
Phone (508) 281-1064

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1790472546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 COUNTY ST",
            "city": "SOMERSET",
            "state": "MA",
            "postal_code": "027265140",
            "telephone_number": "508-281-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 IYANNOUGH RD",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026011839",
            "telephone_number": "508-862-8061",
            "fax_number": "508-862-8064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "91 Carver Rd",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MA",
            "postal_code": "023604685",
            "country_code": "US",
            "telephone_number": "774-283-6500",
            "fax_number": "774-283-6510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1188 County St",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "MA",
            "postal_code": "027265140",
            "country_code": "US",
            "telephone_number": "508-281-1064",
            "fax_number": "508-281-4013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREIRA",
        "first_name": "MELANIE",
        "middle_name": "DENISE",
        "credential": "RN2289554",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-21",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2289554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.