Individual provider Active NPI

Melissa Montalbine, NP, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Midlothian, VA
National Provider Identifier
1851018949
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024185237 Issued in VA
Practice address
5918 Harbour Park Drive
Midlothian, VA 23112-2163
Phone
(804) 639-0400
Fax
(804) 639-0445
NPI assigned
Oct 20, 2022
Last updated
Oct 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024185237 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024185237 VA Primary
Registered Nurse 163W00000X 0001078677 VA

Addresses

Primary practice location

5918 Harbour Park Drive
Midlothian, VA 23112-2163

Mailing address

5918 Harbour Park Drive
Midlothian, VA 23112-2163
Phone (804) 639-0400

Other names 1

  • Melissa Tyson Alexander Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20230120002102 VA Practitioner - Nurse Practitioner 8820469372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.58 of 100Reported as group
Quality
95
Improvement activities
40
Cost
68.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001078677VAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
HMG Psychiatric Associates PC CurrentSince Jan 11, 2023 Accepting new patients

Locations

5918 Harbour Park Dr
Midlothian, VA 23112
Phone (804) 353-0010

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1851018949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5918 HARBOUR PARK DRIVE",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122163",
            "telephone_number": "804-639-0400",
            "fax_number": "804-639-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5918 HARBOUR PARK DRIVE",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122163",
            "telephone_number": "804-639-0400",
            "fax_number": "804-639-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTALBINE",
        "first_name": "MELISSA",
        "credential": "NP, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024185237",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024185237",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001078677",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "ALEXANDER",
            "middle_name": "TYSON",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.