Individual provider Active NPI

Melinda Yvette Short, AGACNP-BC, BSN, RN

  • Registered Nurse
  • Petoskey, MI
National Provider Identifier
1841651114
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
4704319747 Issued in MI
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160818002732 MI Practitioner - Nurse Practitioner 8325333099 Reassigns benefits to 2 organizations

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
Alfred J Wroblewski MD PCGroup PAC ID 6709882384, 5 clinicians

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

LicenseStateTypeSpecialty
4704319747MIMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Street Orthopaedics PLLC CurrentSince Sep 1, 2019 Accepting new patients
Alfred J Wroblewski MD PC Current Accepting new patients
Alfred J Wroblewski MD PC CurrentSince May 1, 2025 Accepting new patients
Bay Street Orthopaedics PLLC CurrentSince Sep 1, 2019 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.