Individual provider Active NPI

Melissa D Shene, CRNP

  • Nurse Practitioner
  • Warren, PA
National Provider Identifier
1831290295
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP007451 Issued in PA
Practice address
418 Pennsylvania Ave E
Warren, PA 16365-2775
Phone
(814) 726-0211
NPI assigned
Sep 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP007451 PA Primary

Addresses

Primary practice location

418 Pennsylvania Ave E
Warren, PA 16365-2775

Mailing address

418 Pennsylvania Ave E
Warren, PA 16365-2775
Phone (814) 726-0211

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
I20041207000858 PA Practitioner - Nurse Practitioner 7810953270 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warren General HospitalGroup PAC ID 4880501402, shared by 10 NPIs, 100 clinicians

Practice addresses (Care Compare)

105 Lee St
Warren, PA 16365-2114
Phone (814) 726-1786

2 W Crescent Park
Warren, PA 16365-2111
Phone (814) 723-3300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP007451PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Warren General Hospital CurrentSince Jan 1, 2025 Accepting new patients
Warren General Hospital CurrentSince Jan 6, 2025 Accepting new patients
Warren General Hospital CurrentSince Jan 1, 2025 Accepting new patients
Warren Medical Group Inc Past Accepting new patients

Locations

103 W Saint Clair St
Rm 2A
Warren, PA 16365
Phone (814) 723-1212

2 W Crescent Park
Warren, PA 16365
Phone (814) 452-5337

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831290295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 PENNSYLVANIA AVE E",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163652775",
            "telephone_number": "814-726-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 PENNSYLVANIA AVE E",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163652775",
            "telephone_number": "814-726-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENE",
        "first_name": "MELISSA",
        "middle_name": "D",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP007451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, PA

Sources for this page

Verify at the official NPI Registry.