Individual provider Active NPI

Melanie Derham, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Sewell, NJ
National Provider Identifier
1902630528
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ15118100 Issued in NJ
Practice address
247 Hurffville Crosskeys Rd Ste 2-C
Sewell, NJ 08080-4014
Phone
(856) 262-4750
NPI assigned
Aug 27, 2024
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ15118100 NJ Primary
Gerontology Nurse Practitioner 363LG0600X 26NJ15118100 NJ
Primary Care Nurse Practitioner 363LP2300X 26NJ15118100 NJ

Addresses

Primary practice location

247 Hurffville Crosskeys Rd Ste 2-C
Sewell, NJ 08080-4014

Mailing address

247 Hurffville Crosskeys Rd Ste 2-C
Sewell, NJ 08080-4014
Phone (856) 262-4750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20251026000044 NJ Practitioner - Nurse Practitioner 1254820756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Jefferson Medical College of Thomas Jefferson University, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Womens Health Group LLCGroup PAC ID 2961316328, 352 clinicians

Practice addresses (Care Compare)

247 Hurffville Crosskeys Rd
Suite 2
Sewell, NJ 08080-4011
Phone (856) 262-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ15118100NJMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Women's Health Group, LLC CurrentSince Oct 8, 2025 Accepting new patients
Regional Womens Health Group LLC CurrentSince Oct 8, 2025 Accepting new patients

Locations

247 Hurffville Crosskeys Rd
Ste 2
Sewell, NJ 08080
Phone (856) 262-8300

188 Fries Mill Rd
Ste N1
Turnersville, NJ 08012
Phone (609) 261-7023

227 Laurel Rd
Ste 300
Voorhees, NJ 08043
Phone (856) 669-6025

Interoperability endpoints

  • Direct secure messaging: melanie.derham@axia.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1902630528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 HURFFVILLE CROSSKEYS RD STE 2-C",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080804014",
            "telephone_number": "856-262-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 HURFFVILLE CROSSKEYS RD STE 2-C",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080804014",
            "telephone_number": "856-262-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERHAM",
        "first_name": "MELANIE",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-27",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ15118100",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ15118100",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ15118100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

Verify at the official NPI Registry.