Individual provider Active NPI

Melba Michele Brown, CRNP CNS

  • Nurse Practitioner
  • Lima, OH
National Provider Identifier
1851369458
Registry record updated Oct 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP083089 Issued in OH
Practice address
750 W High St
Suite 150
Lima, OH 45801-2969
Phone
(419) 227-1359
Fax
(419) 227-7586
NPI assigned
Mar 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 161468 OH
Nurse Practitioner 363L00000X NP083089 OH Primary

Addresses

Primary practice location

750 W High St
Suite 150
Lima, OH 45801-2969

Mailing address

PO Box 636930
Cincinnati, OH 45263-6930
Phone (513) 981-5123

Other identifiers 3

IdentifierTypeStateIssuer
000000549038OtherOHANTHEM BCBS
1851369458OtherOHANTHEM
2791037MedicaidOH

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address mbrown479415@Direct.Parkviewexchange.com
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20071214000020 OH Practitioner - Nurse Practitioner 5496845497 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
161468OHMDAddiction (Substance Use Disorder) Counselor
NP083089OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oglethorpe of Middlepoint LLC CurrentSince Apr 1, 2014 Accepting new patients
Promedica Central Physicians CurrentSince Mar 1, 2021 Accepting new patients
Professional Emergency Physicians PC CurrentSince Nov 13, 2024 Accepting new patients
Emergency Professional Services, Inc. Nurse Practitioner CurrentSince Aug 1, 2023 Accepting new patients
Quality Care Associates Urgent Care and Wellness Center, LLC CurrentSince Jan 24, 2019 Accepting new patients
Williams Emergency Group, LLC Nurse Practitioner CurrentSince Oct 1, 2024 Accepting new patients
Promedica Central Physicians Nurse Practitioner CurrentSince Mar 1, 2021 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Emergency Physicians of Northwest Ohio Inc. Past Accepting new patients

Locations

7074 Grove Rd
Spring Hill, FL 34609
Phone (352) 540-9335

608 Union Chapel Rd
Fort Wayne, IN 46845
Phone (260) 482-4440

433 W High St
Bryan, OH 43506
Phone (419) 636-1131

416 Front St
Marietta, OH 45750
Phone (740) 236-4131

17872 Lincoln Hwy
Middle Point, OH 45863
Phone (419) 495-6515

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

5700 Monroe St
Sylvania, OH 43560
Phone (419) 473-6622

45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

1250 S Washington St
Van Wert, OH 45891
Phone (419) 232-2077

Interoperability endpoints

  • Direct secure messaging: mbrown479415@direct.parkviewexchange.com
  • FHIR API: https://api.platform.athenahealth.com/18451/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665792000000",
    "number": "1851369458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636930",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636930",
            "telephone_number": "513-981-5123",
            "fax_number": "513-981-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 W HIGH ST",
            "address_2": "SUITE 150",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458012969",
            "telephone_number": "419-227-1359",
            "fax_number": "419-227-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MELBA",
        "middle_name": "MICHELE",
        "credential": "CRNP CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2022-10-15",
        "certification_date": "2022-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "161468",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "NP083089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000549038",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "1851369458",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2791037",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbrown479415@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "address_1": "442 W High St",
            "city": "Bryan",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435061681",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "442 W High St",
            "city": "Bryan",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435061681",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "442 W High St",
            "city": "Bryan",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435061681",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "442 W High St",
            "city": "Bryan",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435061681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.