Individual provider Active NPI

Melissa Lee Rickard, NP

  • Family Nurse Practitioner
  • Honesdale, PA
National Provider Identifier
1821284977
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
VP007039B Issued in PA
Practice address
600 Maple Ave Suite 2
Honesdale, PA 18431-1459
Phone
(570) 251-6672
Fax
(570) 251-6668
NPI assigned
Sep 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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 VP007039B PA Primary

Addresses

Primary practice location

600 Maple Ave Suite 2
Honesdale, PA 18431-1459

Mailing address

601 Park Street
Honesdale, PA 18431-1459
Phone (570) 251-6641

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050512000799 PA Practitioner - Nurse Practitioner 0345281085 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne Memorial Community Health Centers CurrentSince Jul 12, 2009 Accepting new patients
Wayne Memorial Community Health Centers CurrentSince Jul 12, 2009 Accepting new patients
Whites Crossing Medical Group Inc Past Accepting new patients

Locations

601 Park St
Honesdale, PA 18431
Phone (570) 253-8100

600 Maple Ave
Ste 2
Honesdale, PA 18431
Phone (570) 251-6672

600 Maple Ave
Unit 1
Honesdale, PA 18431
Phone (570) 282-2456

412 Como Rd
Lake Como, PA 18437
Phone (570) 775-7100

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": "1190419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1821284977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 PARK STREET",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311459",
            "telephone_number": "570-251-6641",
            "fax_number": "570-253-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MAPLE AVE SUITE 2",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311459",
            "telephone_number": "570-251-6672",
            "fax_number": "570-251-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKARD",
        "first_name": "MELISSA",
        "middle_name": "LEE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-22",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "VP007039B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honesdale, PA

Sources for this page

Verify at the official NPI Registry.