Active NPI
Melissa Lynn Fannon-Wisner, CRNP
- Family Nurse Practitioner
- Winchester, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 105608
- Practice address
- 190 Campus Blvd Ste 400
Winchester, VA 22601-2872 - Phone
- (540) 667-1727
- Fax
- (540) 722-3373
- NPI assigned
- Oct 12, 2016
- Last updated
- Feb 5, 2026
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AC003394 | MD | |
| Family Nurse Practitioner | 363LF0000X | SP016840 | PA | |
| Family Nurse Practitioner | 363LF0000X | 105608 | WV | Primary |
| Family Nurse Practitioner | 363LF0000X | 0024185033 | VA |
Addresses
Primary practice location
190 Campus Blvd Ste 400
Winchester, VA 22601-2872
Mailing address
190 Campus Blvd Ste 400
Winchester, VA 22601-2872
Phone (540) 667-1727
Other practice location 1
19820 Century Blvd
Germantown, MD 20874-1198
Phone (301) 528-5437
Other practice location 2
19800 Belmont Chase Dr Ste 110
Ashburn, VA 20147-3416
Phone (703) 723-6767
Other practice location 3
12254 Rockville Pike
Rockville, MD 20852-1608
Phone (301) 230-2767
Other names 1
- Miss Melissa Lynn Fannon
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mfannon701554@soc.inova.org | ||
| Direct Messaging Address | mfannon701554@soc.inova.org | ||
| Direct Messaging Address | mfannon701554@soc.inova.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- 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 |
|---|---|---|---|
| SP016840 | PA | MD | Family Nurse Practitioner |
| 0024185033 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Mountain Health Physicians Inc | Current | Accepting new patients | |
| East Mountain Health Physicians Inc. | Current | Accepting new patients | |
| East Mountain Health Physicians, Inc. | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| East Mountain Health Physicians, Inc. | Past | Accepting new patients | |
| PM Pediatrics of Virginia | Past | Accepting new patients |
Locations
220 Campus Blvd
Ste 100
Winchester, VA 22601
4803 Gerrardstown Rd
Inwood, WV 25428
Phone (304) 821-9011
1004 Sushruta Dr
Ste D
Martinsburg, WV 25401
Phone (304) 262-2538
101 Marcley Dr
Martinsburg, WV 25401
Phone (304) 263-8911
120 Campus Dr
Ste 211
Martinsburg, WV 25404
Phone (681) 247-1260
120 Campus Dr
Ste 221
Martinsburg, WV 25404
Phone (681) 247-1280
100 Oak Lee Dr
Ranson, WV 25438
Phone (304) 350-0001
Interoperability endpoints
- mfannon701554@soc.inova.org
Organizations & group practices 6
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 Valley Health Family Medicine - Briarwood
- Family Medicine Physician
- Martinsburg, WV
- NPI 1114460797
-
dba Valley Health Multispecialty Clinic Charles Town
- Obstetrics & Gynecology Physician
- Charles Town, WV
- NPI 1073024923
-
dba Valley Health Center for Orthopedic Excellence
- Orthopaedic Surgery Physician
- Martinsburg, WV
- NPI 1437885365
-
- Urgent Care Clinic/Center
- Springfield, VA
- NPI 1962902650
-
dba Valley Health Employer Health
- Occupational Medicine Clinic/Center
- Ranson, WV
- NPI 1841711512
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770249600000",
"number": "1891245981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 CAMPUS BLVD STE 400",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226012872",
"telephone_number": "540-667-1727",
"fax_number": "540-722-3373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 CAMPUS BLVD STE 400",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226012872",
"telephone_number": "540-667-1727",
"fax_number": "540-722-3373"
}
],
"practiceLocations": [
{
"address_1": "19820 Century Blvd",
"address_purpose": "LOCATION",
"city": "Germantown",
"state": "MD",
"postal_code": "208741198",
"country_code": "US",
"telephone_number": "301-528-5437",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "19800 Belmont Chase Dr Ste 110",
"address_purpose": "LOCATION",
"city": "Ashburn",
"state": "VA",
"postal_code": "201473416",
"country_code": "US",
"telephone_number": "703-723-6767",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12254 Rockville Pike",
"address_purpose": "LOCATION",
"city": "Rockville",
"state": "MD",
"postal_code": "208521608",
"country_code": "US",
"telephone_number": "301-230-2767",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FANNON-WISNER",
"first_name": "MELISSA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-12",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "AC003394",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP016840",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "105608",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024185033",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mfannon701554@soc.inova.org",
"affiliation": "N",
"address_1": "4803 Gerrardstown Rd",
"city": "Inwood",
"state": "WV",
"country_code": "US",
"postal_code": "254283450",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mfannon701554@soc.inova.org",
"affiliation": "N",
"address_1": "101 Marcley Dr",
"city": "Martinsburg",
"state": "WV",
"country_code": "US",
"postal_code": "254012977",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mfannon701554@soc.inova.org",
"affiliation": "N",
"address_1": "120 Campus Dr Ste 221",
"city": "Martinsburg",
"state": "WV",
"country_code": "US",
"postal_code": "254047552",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "FANNON",
"middle_name": "LYNN",
"prefix": "MISS",
"credential": "CRNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Winchester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.