Individual provider Active NPI

Melanie Barriger Wilson, DNP-ARNP

  • Adult Health Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1801266754
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP9170146 Issued in FL
Practice address
1000 Riverside Ave Ste 200
Jacksonville, FL 32204-4154
Phone
(904) 388-7521
Fax
(904) 388-3541
NPI assigned
Oct 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP9170146 FL Primary

Addresses

Primary practice location

1000 Riverside Ave Ste 200
Jacksonville, FL 32204-4154

Mailing address

836 Prudential Dr
Suite 1405
Jacksonville, FL 32207-8334
Phone (904) 388-7521

Other practice location 1

13000 Sawgrass Village Cir Ste 32
Ponte Vedra Beach, FL 32082-5021
Phone (904) 394-5347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20041020000696 FL Practitioner - Nurse Practitioner 1456312743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Florida College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiothoracic and Vascular Surgical Associates PAGroup PAC ID 5395725188, 85 clinicians

Practice addresses (Care Compare)

1824 King St
Suite 200
Jacksonville, FL 32204-4736
Phone (904) 384-3343

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9170146FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiothoracic & Vascular Surgical Associates PA CurrentSince May 5, 2020 Accepting new patients
The Vein Clinic Past Accepting new patients
Natural Medicine and Wellness Center of Jacksonville, Inc. Past Accepting new patients

Locations

1824 King St
Ste 200
Jacksonville, FL 32204
Phone (904) 384-3343

836 Prudential Dr
Ste 1405
Jacksonville, FL 32207
Phone (904) 388-7521

1000 Riverside Ave
Ste 200
Jacksonville, FL 32204
Phone (904) 388-7521

14540 Old St Augustine Rd
Ste 2593
Jacksonville, FL 32258
Phone (904) 328-5289

4451 Bayou Blvd
Pensacola, FL 32503
Phone (850) 416-7619

13000 Sawgrass Village Cir
Ste 32
Ponte Vedra Beach, FL 32082
Phone (904) 394-5347

Interoperability endpoints

  • Direct secure messaging: melaniewilson@cvsapa.allscriptsdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1801266754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 PRUDENTIAL DR",
            "address_2": "SUITE 1405",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078334",
            "telephone_number": "904-388-7521",
            "fax_number": "904-388-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 RIVERSIDE AVE STE 200",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044154",
            "telephone_number": "904-388-7521",
            "fax_number": "904-388-3541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13000 Sawgrass Village Cir Ste 32",
            "address_purpose": "LOCATION",
            "city": "Ponte Vedra Beach",
            "state": "FL",
            "postal_code": "320825021",
            "country_code": "US",
            "telephone_number": "904-394-5347",
            "fax_number": "904-388-3541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MELANIE",
        "middle_name": "BARRIGER",
        "name_prefix": "Dr.",
        "credential": "DNP-ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-05",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9170146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.