Melissa Ann Renzi, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP018896 Issued in PA

Practice address

1107 Bethlehem Pike Ste 103
Flourtown, PA 19031-1919

Phone

(152) 547-0702

Fax

(215) 254-7079

NPI assigned

May 27, 2018

Last updated

Oct 29, 2024By 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 2

Addresses

Other names 1

• Melissa Viola Former name

Medicare fee-for-service enrollment

Enrolled in PA

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Dermatology of Pennsylvania, PCGroup PAC ID 5799091690, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Advanced Dermatology of Pennsylvania, PC

  • Dermatology Physician
  • Philadelphia, PA
  • NPI 1740671767
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1527379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1912498767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 BETHLEHEM PIKE STE 103&210",
            "city": "FLOURTOWN",
            "state": "PA",
            "postal_code": "190311919",
            "telephone_number": "215-254-7070",
            "fax_number": "215-254-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 BETHLEHEM PIKE STE 103",
            "city": "FLOURTOWN",
            "state": "PA",
            "postal_code": "190311919",
            "telephone_number": "152-547-0702",
            "fax_number": "215-254-7079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 N Route 73",
            "address_purpose": "LOCATION",
            "city": "West Berlin",
            "state": "NJ",
            "postal_code": "080912508",
            "country_code": "US",
            "telephone_number": "844-542-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENZI",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-27",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00829200",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP018896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "VIOLA",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shelby Rance
• Megan Reddish, LCSW
• James John Reed Jr.
• Timothy G Reekie, MD
• Renew Consulting and Treatment
• Robert J Wieman PHD PC
• Jeanine Marie Rock, PTA
• David M Rodgers, M.D.
• Susan L Roedder, MD
• Ron Lewis Associates

• Nurse Practitioner in Flourtown, PA
• Providers in Flourtown, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.