Individual provider Active NPI

Melissa Andrade, APRN-CNP

  • Family Nurse Practitioner
  • Edmond, OK
National Provider Identifier
1801339163
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
77881 Issued in OK
Practice address
301 Lilac Dr., Ste. 230
Edmond, OK 73034
Phone
(405) 509-2918
Fax
(405) 987-1010
NPI assigned
Nov 18, 2016
Last updated
May 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2026

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 77881 OK Primary

Addresses

Primary practice location

301 Lilac Dr., Ste. 230
Edmond, OK 73034

Mailing address

2133 N Kelly Ave Ste 100
Edmond, OK 73003-0037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20230324002706 OK Practitioner - Nurse Practitioner 1052785490 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Holloway Group IncGroup PAC ID 1951297985, 6 clinicians

Practice addresses (Care Compare)

6613 N Meridian Ave
Oklahoma City, OK 73116-1423
Phone (405) 603-8450

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77881OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Professional Counseling LLC CurrentSince Oct 1, 2025 Accepting new patients
Pathways Medical LLC CurrentSince Oct 1, 2025 Accepting new patients
Andrade Medical Services Family Current Accepting new patients
Prime Medical and Wellness LLC Current Accepting new patients
Holloway Group Inc CurrentSince Dec 3, 2022 Accepting new patients

Locations

13707 Fairhill Ave
Edmond, OK 73013
Phone (405) 412-3494

2133 N Kelly Ave
Ste 100
Edmond, OK 73003
Phone (405) 888-5615

6613 N Meridian Ave
Oklahoma City, OK 73116
Phone (405) 603-8450

6400 Industrial Loop
Greendale, WI 53129
Phone (414) 423-4100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13010/brand/1/csg/1/fhir/r4
  • Direct secure messaging: melissa.andrade.1@13010.direct.athenahealth.com

Organizations & group practices 6

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": "1479427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1801339163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2133 N KELLY AVE STE 100",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730030037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 LILAC DR., STE. 230",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "73034",
            "telephone_number": "405-509-2918",
            "fax_number": "405-987-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRADE",
        "first_name": "MELISSA",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-18",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "77881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.