Active NPI
Melissa Rae Pelosi, PA
- Medical Physician Assistant
- Pembroke Pines, FL
National Provider Identifier
1881148419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 9035 Pines Blvd
Pembroke Pines, FL 33024 - Phone
- (954) 378-0333
- NPI assigned
- Aug 11, 2016
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9109769 | FL | |
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
9035 Pines Blvd
Pembroke Pines, FL 33024
Mailing address
215 SE 8TH Ave Apt 680
Fort Lauderdale, FL 33301-3885
Phone (561) 251-7610
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881148419 | Other | FL | NPI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Melissa.pelosi@carespot.com |
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1611 S Federal Hwy
Pompano Beach, FL 33062-7514
Phone (954) 580-4001
9035 Pines Blvd
Pembroke Pines, FL 33024-6440
Phone (954) 378-0333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9109769 | FL | MD | Physician Assistant |
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 and National Provider Directory roles.
-
dba CareSpot Express Healthcare
- Urgent Care Clinic/Center
- Coral Springs, FL
- NPI 1851344378
-
- Urgent Care Clinic/Center
- Boynton Beach, FL
- NPI 1003172628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589241600000",
"number": "1881148419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 SE 8TH AVE APT 680",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333013885",
"telephone_number": "561-251-7610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9035 PINES BLVD",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "33024",
"telephone_number": "954-378-0333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELOSI",
"first_name": "MELISSA",
"middle_name": "RAE",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-11",
"last_updated": "2020-05-12",
"certification_date": "2020-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9109769",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1881148419",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Melissa.pelosi@carespot.com",
"affiliation": "N",
"address_1": "9035 Pines Blvd",
"city": "Pembroke Pines",
"state": "FL",
"country_code": "US",
"postal_code": "33024",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.
- 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.