Individual provider Active NPI

Melanie Brianne Malone, CRNP

  • Family Nurse Practitioner
  • Russellville, AL
National Provider Identifier
1851473102
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-087247 Issued in AL
Practice address
15225 Highway 43 Ste G
Russellville, AL 35653-1969
Phone
(256) 332-4465
Fax
(256) 332-6771
NPI assigned
Oct 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-087247 AL Primary

Addresses

Primary practice location

15225 Highway 43 Ste G
Russellville, AL 35653-1969

Mailing address

315 Ash Ave
Russellville, AL 35653-4118
Phone (256) 332-2405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20050804000885 AL Practitioner - Nurse Practitioner 7416986997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mission Medical, IncGroup PAC ID 2567749450, 4 clinicians

Practice addresses (Care Compare)

124 Jackson Ave S
Suite C
Russellville, AL 35653-2232
Phone (256) 398-7212

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-087247ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HH Health System - Shoals LLC Current Accepting new patients
Mission Medical, Inc CurrentSince Apr 3, 2017 Accepting new patients

Locations

124 Jackson Ave S
Ste C
Russellville, AL 35653
Phone (256) 398-7212

14001 Highway 43
Ste 24
Russellville, AL 35653
Phone (256) 398-7212

Organizations & group practices 2

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 4

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851473102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 ASH AVE",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356534118",
            "telephone_number": "256-332-2405",
            "fax_number": "256-332-6771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15225 HIGHWAY 43 STE G",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356531969",
            "telephone_number": "256-332-4465",
            "fax_number": "256-332-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "MELANIE",
        "middle_name": "BRIANNE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-087247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, AL

Sources for this page

Verify at the official NPI Registry.