Individual provider Active NPI

Melissa A Federici, PAC

  • Physician Assistant
  • Knoxville, TN
National Provider Identifier
1891976064
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1862 Issued in TN
Practice address
1342 Papermill Pointe Way
Knoxville, TN 37909-1903
Phone
(865) 673-5000
Fax
(865) 588-5711
NPI assigned
Nov 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA1862 TN
Physician Assistant 363A00000X 1862 TN Primary

Addresses

Primary practice location

1342 Papermill Pointe Way
Knoxville, TN 37909-1903

Mailing address

8708 Barbee LN
Knoxville, TN 37923-6358
Phone (228) 596-2605

Other practice location 1

5001 Maloneyville Rd
Knoxville, TN 37918
Phone (865) 281-6956

Other identifiers 1

IdentifierTypeStateIssuer
1522184MedicaidTN

Other names 1

  • Melissa A Noel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20110202000496 TN Practitioner - Physician Assistant 2769566900 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1862TNMDOptician
PA1862TNMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
East Tennessee Neuropathy, PC Physician Assistant PastSince Apr 1, 2013 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: melissa.noel@aps.directbygreenway.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1891976064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8708 BARBEE LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379236358",
            "telephone_number": "228-596-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1342 PAPERMILL POINTE WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091903",
            "telephone_number": "865-673-5000",
            "fax_number": "865-588-5711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5001 Maloneyville Rd",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "37918",
            "country_code": "US",
            "telephone_number": "865-281-6956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEDERICI",
        "first_name": "MELISSA",
        "middle_name": "A",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-16",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "PA1862",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "1862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1522184",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "NOEL",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.