Active NPI
Meldomi Asabea Asante, NP
- Primary Care Nurse Practitioner
- Mahomet, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 209028035
- Practice address
- 1506 Amy Dr
Mahomet, IL 61853-2749 - Phone
- (301) 651-0193
- NPI assigned
- Aug 14, 2023
- Last updated
- Feb 10, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209028035 | IL | |
| Primary Care Nurse Practitioner | 363LP2300X | 209028035 | IL | Primary |
Addresses
Primary practice location
1506 Amy Dr
Mahomet, IL 61853-2749
Mailing address
1506 Amy Dr
Mahomet, IL 61853-2749
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promise Healthcare NFP | Current | Accepting new patients | |
| Promise Healthcare NFP | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Promise Healthcare NFP | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
819 Bloomington Rd
Champaign, IL 61820
Phone (217) 356-1558
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420
Interoperability endpoints
- meldomi.asante.p11@direct.fhn-fqhc.nextgenshare.com
Organizations & group practices 5
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.
-
dba Frances Nelson Health Center
- Federally Qualified Health Center (FQHC)
- Champaign, IL
- NPI 1578821005
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
IL, Nurse Practitioner
-
- Federally Qualified Health Center (FQHC)
- Champaign, IL
- NPI 1629828439
-
dba Promise Healthcare - Ready School
- Federally Qualified Health Center (FQHC)
- Champaign, IL
- NPI 1801687728
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707523200000",
"number": "1871376962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1506 AMY DR",
"city": "MAHOMET",
"state": "IL",
"postal_code": "618532749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1506 AMY DR",
"city": "MAHOMET",
"state": "IL",
"postal_code": "618532749",
"telephone_number": "301-651-0193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASANTE",
"first_name": "MELDOMI",
"middle_name": "ASABEA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-14",
"last_updated": "2024-02-10",
"certification_date": "2024-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209028035",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "IL",
"license": "209028035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mahomet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2024; 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.