Active NPI
Melissa Lee Rickard, NP
- Family Nurse Practitioner
- Honesdale, PA
National Provider Identifier
1821284977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- VP007039B
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wayne Memorial Community Health Centers | Current | Accepting new patients | |
| Wayne Memorial Community Health Centers | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Honesdale, PA
- NPI 1952395121
-
- Federally Qualified Health Center (FQHC)
- Honesdale, PA
- NPI 1346000569
-
- Internal Medicine Physician
- Carbondale, PA
- NPI 1649242660
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.