Active NPI
Melinda Yvette Short, AGACNP-BC, BSN, RN
- Registered Nurse
- Petoskey, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 4704319747
- Practice address
- 630 W Mitchell St Ste 4
Petoskey, MI 49770-2214 - Phone
- (231) 348-4005
- Fax
- (833) 973-5899
- NPI assigned
- Mar 15, 2016
- Last updated
- Oct 2, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 4704319747 | MI | |
| Registered Nurse | 163W00000X | 4704319747 | MI | Primary |
Addresses
Primary practice location
630 W Mitchell St Ste 4
Petoskey, MI 49770-2214
Mailing address
630 W Mitchell St Ste 4
Petoskey, MI 49770-2214
Phone (231) 348-4005
Other practice location 1
1140 N State St
Saint Ignace, MI 49781-1048
Phone (231) 348-4005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14700 Lake Shore Dr
Charlevoix, MI 49720-1931
Phone (231) 547-4024
416 Connable Ave
Petoskey, MI 49770-2212
Phone (800) 248-6777
630 W Mitchell St
Petoskey, MI 49770-2213
Phone (231) 348-4005
630 W Mitchell St
Suite 4
Petoskey, MI 49770-2214
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704319747 | MI | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Street Orthopaedics PLLC | Current | Accepting new patients | |
| Alfred J Wroblewski MD PC | Current | Accepting new patients | |
| Alfred J Wroblewski MD PC | Current | Accepting new patients | |
| Bay Street Orthopaedics PLLC | Current | Accepting new patients | |
| Mackinac Straits Health System Inc | Past | Accepting new patients |
Locations
14715 W Upright St
Charlevoix, MI 49720
Phone (231) 347-5155
748 S Main St
Cheboygan, MI 49721
Phone (231) 627-5601
4048 Cedar Bluff Dr
Petoskey, MI 49770
Phone (231) 347-5155
4048 Cedar Bluff Dr
Ste 1
Petoskey, MI 49770
Phone (231) 347-5155
416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000
416 Connable Ave
Ste 1
Petoskey, MI 49770
630 W Mitchell St
Petoskey, MI 49770
Phone (231) 347-8282
630 W Mitchell St
Ste 4
Petoskey, MI 49770
Phone (231) 348-4005
1140 N State St
Saint Ignace, MI 49781
Phone (906) 643-0466
Interoperability endpoints
- melinda.short.1@33154.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Petoskey, MI
- NPI 1821252289
-
- Orthopaedic Surgery Physician
- Petoskey, MI
- NPI 1174808992
-
dba Bay Street Orthopedics and Hand Surgery
- Orthopaedic Hand Surgery Physician
- Petoskey, MI
- NPI 1932904489
-
- Durable Medical Equipment & Medical Supplies
- Gaylord, MI
- NPI 1982238705
-
dba Mackinac Straits Hospital and Health Center
- General Practice Physician
- Saint Ignace, MI
- NPI 1659536035
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mackinac Straits Hospital and Health Center
- Critical Access Hospital
- Saint Ignace, MI
- NPI 1124283502
-
dba Rivertown Medical Clinic
- Rural Health Clinic/Center
- Cheboygan, MI
- NPI 1659868206
Hospital
-
- Psychiatric Hospital Unit
- Cheboygan, MI
- NPI 1336897735
-
- General Acute Care Hospital
- Petoskey, MI
- NPI 1992812580
-
- Critical Access Hospital
- Charlevoix, MI
- NPI 1346260692
-
- General Acute Care Hospital
- Gaylord, MI
- NPI 1124028972
-
dba Chippewa County War Memorial Hospital, Inc
- General Acute Care Hospital
- Sault Sainte Marie, MI
- NPI 1295756948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759363200000",
"number": "1841651114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 W MITCHELL ST STE 4",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497702214",
"telephone_number": "231-348-4005",
"fax_number": "833-973-5899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 W MITCHELL ST STE 4",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497702214",
"telephone_number": "231-348-4005",
"fax_number": "833-973-5899"
}
],
"practiceLocations": [
{
"address_1": "1140 N State St",
"address_purpose": "LOCATION",
"city": "Saint Ignace",
"state": "MI",
"postal_code": "497811048",
"country_code": "US",
"telephone_number": "231-348-4005",
"fax_number": "833-973-5899",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHORT",
"first_name": "MELINDA",
"middle_name": "YVETTE",
"credential": "AGACNP-BC, BSN, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-15",
"last_updated": "2025-10-02",
"certification_date": "2025-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MI",
"license": "4704319747",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704319747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Petoskey, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.