Individual provider Active NPI

Melynda Brown, PA

  • Physician Assistant
  • Fort Myers, FL
National Provider Identifier
1851678106
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9106141 Issued in FL
Practice address
3210 Cleveland Ave
Suite 100
Fort Myers, FL 33901-7182
Phone
(239) 936-6778
Fax
(239) 936-1246
NPI assigned
Nov 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9106141 FL Primary

Addresses

Primary practice location

3210 Cleveland Ave
Suite 100
Fort Myers, FL 33901-7182

Mailing address

23 Barkley Cir
Suite 100
Fort Myers, FL 33907-7531
Phone (239) 333-1177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120509000590 FL Practitioner - Physician Assistant 3173785086 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Management Consultants of South West Florida, PLGroup PAC ID 1052338878, 4 clinicians

Practice addresses (Care Compare)

1031 SE 9TH Place
5 Cape Coral
Cape Coral, FL 33990-3003
Phone (239) 333-1177

150 SW Chamber CT
Suite 105
Port St Lucie, FL 34986-3413
Phone (772) 807-9000

1693 Lee Rd
Suite B
Winter Park, FL 32789-2260
Phone (407) 622-5766

2721 Del Prado Blvd S
Suite 200
Cape Coral, FL 33904-5783
Phone (239) 333-1177

5365 W Atlantic Ave
Suite 504
Delray Beach, FL 33484-8194
Phone (561) 241-9300

5948 Turkey Lake Rd
Orlando, FL 32819-4202
Phone (407) 228-8080

7964 Summerlin Lakes Dr
Fort Myers, FL 33907-1816
Phone (239) 333-1177

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.19 of 100Reported as group
Promoting interoperability
92
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9106141FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management Consultants of Southwest Florida, PL Current Accepting new patients
Florida Pain and Rehabilitation Associates Inc CurrentSince Sep 8, 2020 Accepting new patients
Florida Pain and Rehabilitation Associates Inc CurrentSince Sep 8, 2020 Accepting new patients
Florida Pain and Rehabilitation Institute Inc Past Accepting new patients

Locations

9400 Bonita Beach Rd SE
Ste 101
Bonita Springs, FL 34135
Phone (239) 333-1177

2721 Del Prado Blvd S
Ste 200
Cape Coral, FL 33904
Phone (239) 458-6677

1031 SE 9th Pl
Unit 5
Cape Coral, FL 33990
Phone (239) 333-1177

23 Barkley Cir
Ste 100
Fort Myers, FL 33907

7964 Summerlin Lakes Dr
Fort Myers, FL 33907
Phone (239) 333-1177

150 SW Chamber Ct
Ste 105
Port St Lucie, FL 34986
Phone (772) 807-9000

1693 Lee Rd
Ste B
Winter Park, FL 32789
Phone (407) 622-5766

11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: mbrown1@nspc.emadirect.md

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1321228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1851678106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 BARKLEY CIR",
            "address_2": "SUITE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077531",
            "telephone_number": "239-333-1177",
            "fax_number": "239-333-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 CLEVELAND AVE",
            "address_2": "SUITE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339017182",
            "telephone_number": "239-936-6778",
            "fax_number": "239-936-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MELYNDA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-14",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.