Melinda R Short-Russell, MSN, APRN, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN11010479 Issued in FL

Practice address

210 N Highway 27 Ste 1
Clermont, FL 34711-2411

Phone

(352) 243-2544

Fax

(352) 243-2745

NPI assigned

Sep 21, 2007

Last updated

Jan 30, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mrussell@aadermaffiliates.emadirect.md
• Direct secure messaging: mrussell@directaddress.net

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.

• Aesthetic Dermatology PA

  • Dermatology Physician
  • Clermont, FL
  • NPI 1225101231
  Medicare reassignment NPD
• Azuree Aesthetics & Skin Care Specialists, LLC

  • Dermatology Physician
  • Winter Haven, FL
  • NPI 1255287421
  NPD Authorized official
• Pinnacle Family and Diabetes Medical Center, PA

  • Primary Care Clinic/Center
  • Clermont, FL
  • NPI 1093442683
  NPD
• Cumberland Dermatology, P.C.

  • Specialist
  • Crossville, TN
  • NPI 1346236361
  NPD
• Ubsf, Inc.

  dba Oriental Wellness Center & Spa

  • Massage Therapist
  • Brandon, FL
  • NPI 1508014812
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1871789917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N HIGHWAY 27 STE 1",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112411",
            "telephone_number": "352-243-2544",
            "fax_number": "352-243-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N HIGHWAY 27 STE 1",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112411",
            "telephone_number": "352-243-2544",
            "fax_number": "352-243-2745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2007 S Lake Cannon Dr NW",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338813057",
            "country_code": "US",
            "telephone_number": "863-529-6899",
            "fax_number": "863-583-0382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHORT-RUSSELL",
        "first_name": "MELINDA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-21",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11010479",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11010479",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "FL",
            "license": "RN9444048",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109165300",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.e-rncoder.com",
            "affiliation": "N",
            "endpointDescription": "Business url",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mshortrussell@e-rncoder.com",
            "address_1": "2007 S Lake Cannon Dr NW",
            "city": "Winter Haven",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338813057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sheridan Healthcorp Inc
• Sheridan Healthcorp Inc
• Sheridan Healthcorp Inc
• Antonette Sherrill, COTA
• Kristina Jane Shipman, OT
• Julianna Short, IMT3737
• Donna Marie Shryock, LMHC
• Mariegielle Narcise Shumway, P.T.
• Sia-Specialty Infusion Apothecary Inc (Clermont Care Pharmacy)
• Julie Siegel, PTA

• Nurse Practitioner in Clermont, FL
• Providers in Clermont, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.