Individual provider Active NPI

Melissa Lynn Adams, APRN

  • Obstetrics & Gynecology Nurse Practitioner
  • Fernandina Beach, FL
National Provider Identifier
1922502293
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
APRN9367222 Issued in FL
Practice address
1340 S 18TH St Ste 201
Fernandina Beach, FL 32034-4733
Phone
(904) 321-3670
Fax
(904) 376-3416
NPI assigned
Mar 21, 2018
Last updated
Jul 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN9367222 FL
Women's Health Nurse Practitioner 363LW0102X APRN9367222 FL
Obstetrics & Gynecology Nurse Practitioner 363LX0001X APRN9367222 FL Primary

Addresses

Primary practice location

1340 S 18TH St Ste 201
Fernandina Beach, FL 32034-4733

Mailing address

PO Box 748667
Atlanta, GA 30374-8667
Phone (904) 202-1032

Other practice location 1

463820 State Road 200 Ste 103
Yulee, FL 32097-3604
Phone (904) 321-3670

Other identifiers 2

IdentifierTypeStateIssuer
LA505OtherFLMEDICARE
100864600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20181112001848 FL Practitioner - Nurse Practitioner 5698029569 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1340 S 18TH St
Suite 201
Fernandina Beach, FL 32034-4733
Phone (904) 321-3670

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.04 of 100Reported as group
Quality
67.58
Promoting interoperability
100
Improvement activities
40
Cost
75.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9367222FLMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Care Florida LLC Nurse Practitioner CurrentSince Mar 1, 2019 Accepting new patients
Womens' Health Hospitalists, LLC CurrentSince Mar 1, 2019 Accepting new patients
Baptist Obstetrics and Gynecology Inc CurrentSince Jul 7, 2024 Accepting new patients
Baptist Obstetrics and Gynecology CurrentSince Aug 5, 2024 Accepting new patients

Locations

1340 S 18th St
Ste 201
Fernandina Beach, FL 32034
Phone (904) 261-7221

1411 S 14th St
Ste D
Fernandina Beach, FL 32034
Phone (904) 321-0064

13241 Bartram Park Blvd
Unit 1509
Jacksonville, FL 32258
Phone (904) 680-0055

2525 Riverside Ave
Jacksonville, FL 32204
Phone (904) 388-0704

6410 Beach Blvd
Jacksonville, FL 32216
Phone (904) 493-6963

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

463820 State Road 200
Ste 103
Yulee, FL 32097
Phone (904) 225-2770

Interoperability endpoints

  • Direct secure messaging: madams186539@baptisthealthsystemjacksonville.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1922502293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748667",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748667",
            "telephone_number": "904-202-1032",
            "fax_number": "904-376-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 S 18TH ST STE 201",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320344733",
            "telephone_number": "904-321-3670",
            "fax_number": "904-376-3416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "463820 State Road 200 Ste 103",
            "address_purpose": "LOCATION",
            "city": "Yulee",
            "state": "FL",
            "postal_code": "320973604",
            "country_code": "US",
            "telephone_number": "904-321-3670",
            "fax_number": "904-376-3416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "MELISSA",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9367222",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "APRN9367222",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "APRN9367222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "LA505",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100864600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina Beach, FL

Sources for this page

Verify at the official NPI Registry.