Melinda Pilar Anello
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Portland, OR
NPI 1912675729 · NPPES record last updated Oct 10, 2023
Key facts
- NPI
- 1912675729
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 10008344 (OR)
- Practice address
- 6400 SE Lake Rd
Portland, OR 97222-2129 - Phone
- (503) 447-3285
- NPI assigned
- Sep 6, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OR, WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230821002227 | OR | Practitioner - Nurse Practitioner | 9830551035 | |
| I20240402004142 | WA | Practitioner - Nurse Practitioner | 9830551035 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10008344 | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 10008344 | OR | Yes |
Addresses
Primary practice location
6400 SE Lake Rd
Portland, OR 97222-2129
Mailing address
14212 SE Rupert Dr
Milwaukie, OR 97267-1204
Phone (503) 206-2435
Other providers in Portland, OR
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- Torey Morgan Andrus
- Victor Andujo
- Andynd LLC
- Anemt
- Mary Anfilofieff
- Charlene Uy Ang
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All providers in Portland, OR · Psychiatric/Mental Health Nurse Practitioner in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.