Melanie Faith Depietro, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA053097 Issued in PA

Practice address

211 Woodhaven Rd
Peckville, PA 18452-1440

Phone

(724) 448-3380

NPI assigned

Oct 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mdepietro@medicusurgentcare.medentdirect.com

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.

• Emergency Care Services of Pennsylvania, P.C.

  • Emergency Medicine Physician
  • Langhorne, PA
  • NPI 1114955010
  Medicare reassignment
• Pennsylvania Physician Services, LLC

  • Emergency Medicine Physician
  • Wilkes Barre, PA
  • NPI 1497059802
  Medicare reassignment
• Emergency Care Services of Pennsylvania, P.C.

  • Emergency Medicine Physician
  • Wilkes Barre, PA
  • NPI 1235374927
  NPD
• Pennsylvania Physician Services, LLC

  • Emergency Medicine Physician
  • Scranton, PA
  • NPI 1184079105
  NPD

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1811184187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 WOODHAVEN RD",
            "city": "PECKVILLE",
            "state": "PA",
            "postal_code": "184521440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 WOODHAVEN RD",
            "city": "PECKVILLE",
            "state": "PA",
            "postal_code": "184521440",
            "telephone_number": "724-448-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPIETRO",
        "first_name": "MELANIE",
        "middle_name": "FAITH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-01",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA053097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Cox, LCSW
• Cali Ann Craig
• Olivia Delvecchio, LSW
• Depietro Chiropractic & Wellness LLC
• Anthony Depietro, D.C.
• Meena Desai, MD
• Ashley Elizabeth Dunning, LSW
• Eat and Thrive Now LLC
• Elecarellc
• Electric City Counseling

• Medical Physician Assistant in Peckville, PA
• Providers in Peckville, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.