Individual provider Active NPI

Sam Anthony Melton, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Thornton, CO
National Provider Identifier
1841519626
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0995615-NP Issued in CO
Practice address
501 Thornton Pkwy
Thornton, CO 80229-2101
Phone
(303) 452-6101
NPI assigned
May 19, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0995615-NP CO Primary

Addresses

Primary practice location

501 Thornton Pkwy
Thornton, CO 80229-2101

Mailing address

1727 S Gilpin St
Denver, CO 80210-3343

Other practice location 1

1727 S Gilpin St
Denver, CO 80210-3343
Phone (828) 284-2831

Other practice location 2

501 S Cherry St Ste 820
Denver, CO 80246-1325
Phone (702) 790-3315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20210915003942 CO Practitioner - Nurse Practitioner 6103223201 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Colorado in-Home CounselingGroup PAC ID 7214296409, 40 clinicians

Practice addresses (Care Compare)

501 S Cherry St
Suite 820
Denver, CO 80246-1325
Phone (702) 589-4871

Merit-based Incentive Payment System (MIPS)

Final score
98.41 of 100Reported as group
Quality
100
Improvement activities
40
Cost
61.37

Merit-based Incentive Payment System (MIPS)

Final score
81.1 of 100Reported as group
Quality
78.73
Promoting interoperability
68
Improvement activities
40
Cost
51.6

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Med Management Associates of Colorado LLC CurrentSince Sep 1, 2021 Accepting new patients
Colorado in-Home Counseling CurrentSince Oct 12, 2023 Accepting new patients

Locations

12975 Sheridan Blvd
Broomfield, CO 80020
Phone (303) 785-5580

501 S Cherry St
Ste 820
Denver, CO 80246
Phone (303) 884-9682

290 S Monaco Street Pkwy
Denver, CO 80224
Phone (303) 355-2525

501 Thornton Pkwy
Thornton, CO 80229
Phone (303) 451-6101

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

Interoperability endpoints

  • Direct secure messaging: sam.melton.1@24259.direct.athenahealth.com

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": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1841519626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 S GILPIN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 THORNTON PKWY",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802292101",
            "telephone_number": "303-452-6101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1727 S Gilpin St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802103343",
            "country_code": "US",
            "telephone_number": "828-284-2831",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 S Cherry St Ste 820",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802461325",
            "country_code": "US",
            "telephone_number": "702-790-3315",
            "fax_number": "702-589-4872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELTON",
        "first_name": "SAM",
        "middle_name": "ANTHONY",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-19",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0995615-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

Verify at the official NPI Registry.