Individual provider Active NPI

Melanie Faith Sinclair, FNP-BC

  • Family Nurse Practitioner
  • Crooksville, OH
National Provider Identifier
1861085243
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP.0028014 Issued in OH
Practice address
712 China St
Crooksville, OH 43731-1124
Phone
(740) 982-6872
NPI assigned
Feb 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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 CNP.0028014 OH Primary

Addresses

Primary practice location

712 China St
Crooksville, OH 43731-1124

Mailing address

165 Denison Dr
Granville, OH 43023-1430
Phone (419) 651-9357

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
I20210607002376 OH Practitioner - Nurse Practitioner 0446650881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Providence Kidney and Hypertension Specialists LLCGroup PAC ID 0749691715, 4 clinicians

Practice addresses (Care Compare)

1406 Dickerson St
Newark, OH 43055-1844
Phone (740) 915-7475

Hospital & facility affiliations

  • Licking Memorial Hospital Hospital, Newark, OH, CCN 360218

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP.0028014OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Kidney & Hypertension Specialists LLC CurrentSince Apr 5, 2024 Accepting new patients

Locations

1406 Dickerson St
Newark, OH 43055
Phone (740) 344-6808

2951 Maple Ave
Zanesville, OH 43701
Phone (740) 454-4000

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 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": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1861085243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 DENISON DR",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430231430",
            "telephone_number": "419-651-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 CHINA ST",
            "city": "CROOKSVILLE",
            "state": "OH",
            "postal_code": "437311124",
            "telephone_number": "740-982-6872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINCLAIR",
        "first_name": "MELANIE",
        "middle_name": "FAITH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "CNP.0028014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crooksville, OH

Sources for this page

Verify at the official NPI Registry.