Individual provider Active NPI

Richard Joseph Mello, NP

  • Family Nurse Practitioner
  • Schertz, TX
National Provider Identifier
1801539622
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1072932 Issued in TX
Practice address
3071 Roy Richard Dr
Suite 100
Schertz, TX 78154-2711
Phone
(210) 945-2121
NPI assigned
Apr 19, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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 1072932 TX Primary

Addresses

Primary practice location

3071 Roy Richard Dr
Suite 100
Schertz, TX 78154-2711

Mailing address

3701 Roy Richard Dr
Suite 100
Schertz, TX 78154-2711
Phone (210) 945-2121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220609001685 TX Practitioner - Nurse Practitioner 9931587565 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kellum Physician Partners, PA CurrentSince May 1, 2022 Accepting new patients
Americare Medical Partners, PLLC Past Accepting new patients

Locations

3401 Roy Richard Dr
Schertz, TX 78154
Phone (210) 675-6724

3701 Roy Richard Dr
Ste 100
Schertz, TX 78154

Organizations & group practices 2

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": "1650326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1801539622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 ROY RICHARD DR",
            "address_2": "SUITE 100",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781542711",
            "telephone_number": "210-945-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3071 ROY RICHARD DR",
            "address_2": "SUITE 100",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781542711",
            "telephone_number": "210-945-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLO",
        "first_name": "RICHARD",
        "middle_name": "JOSEPH",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-08-01",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1072932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schertz, TX

Sources for this page

Verify at the official NPI Registry.