Active NPI
Melissa Ann Poley
- Family Nurse Practitioner
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11010090
- Practice address
- 1839 Central Ave
St Petersburg, FL 33713-8900 - Phone
- (727) 322-1054
- NPI assigned
- Nov 10, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11010090 | FL | Primary |
Addresses
Primary practice location
1839 Central Ave
St Petersburg, FL 33713-8900
Mailing address
1839 Central Ave
St Petersburg, FL 33713-8900
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11010090 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Health Care of Pinellas Inc. | Current | Accepting new patients | |
| Professional Health Care of Pinellas LLC | Current | Accepting new patients | |
| Sage Infusion, LLC | Current | Accepting new patients |
Locations
401 Corbett St
Ste 300
Belleair, FL 33756
Phone (727) 442-6007
8880 Gladiolus Dr
Ste C200
Fort Myers, FL 33908
Phone (239) 533-5962
1090 NW 8th Ave
Ste 30
Gainesville, FL 32601
Phone (352) 450-8886
2055 Wood St
Ste 202
Sarasota, FL 34237
Phone (941) 365-0655
1839 Central Ave
St Petersburg, FL 33713
Phone (727) 322-1054
4728 N Habana Ave
Ste 101B
Tampa, FL 33614
Phone (813) 775-9997
4728 N Habana Ave
Tampa, FL 33614
Phone (813) 343-0400
2789 Brownwood Blvd
The Villages, FL 32163
Phone (352) 450-3080
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EIJHAA
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- St Petersburg, FL
- NPI 1881647253
-
- Infusion Therapy Clinic/Center
- Tampa, FL
- NPI 1013578442
-
- Chiropractor
- St Petersburg, FL
- NPI 1568970903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604966400000",
"number": "1871195362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1839 CENTRAL AVE",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337138900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1839 CENTRAL AVE",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337138900",
"telephone_number": "727-322-1054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLEY",
"first_name": "MELISSA",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-10",
"last_updated": "2020-11-10",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11010090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.