Melinda Mae Pezzi

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3017260 Issued in KY

Practice address

1102 S Main St
London, KY 40741-1529

Phone

(606) 770-5121

Fax

(606) 770-5199

NPI assigned

Jan 12, 2022

Last updated

Aug 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Mercy Medical Clinic PLLCGroup PAC ID 5597011072, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Corbin Hospital, Corbin, KY, CCN 180080

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Mercy Medical Clinic PLLC

  • Family Medicine Physician
  • Corbin, KY
  • NPI 1528557147
  Medicare reassignment Care Compare group NPD

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

• Baptist Healthcare System, Inc

  dba Baptist Health Corbin

  • General Acute Care Hospital
  • Corbin, KY
  • NPI 1902865389
  Care Compare affiliation

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1851042840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 S MAIN ST",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411529",
            "telephone_number": "606-770-5121",
            "fax_number": "606-770-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 S MAIN ST",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411529",
            "telephone_number": "606-770-5121",
            "fax_number": "606-770-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEZZI",
        "first_name": "MELINDA",
        "middle_name": "MAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3017260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL  MEDICARE PTAN",
            "identifier": "K361260",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keisha Shae Perkins, APRN
• Richard B Perkins, M.D.
• Courtney Nicole Perry-Jackson, LPCC
• Maryann Perry, APRN, FNP-C
• Whitney N Peyman, DPT
• Quehuong H.T. Pham, M.D.
• Carla R. Phelps, ARNP
• Phillips Counseling Services
• Cynthia D Phillips, APRN
• Chelsey Blake Philpot, APRN

• Nurse Practitioner in London, KY
• Providers in London, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.

Verify at the official NPI Registry.