Individual provider Active NPI

Melissa Coleman, FNP

  • Family Nurse Practitioner
  • Bland, VA
National Provider Identifier
1922766815
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024184315 Issued in VA
Practice address
8494 S Scenic Hwy
Bland, VA 24315-5255
Phone
(276) 688-0500
Fax
(276) 688-4336
NPI assigned
Dec 7, 2021
Last updated
Jun 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024184315 VA Primary
Registered Nurse 163W00000X 0001210106 VA

Addresses

Primary practice location

8494 S Scenic Hwy
Bland, VA 24315-5255

Mailing address

1607 Mount Zion Rd
Bland, VA 24315-5246
Phone (276) 389-7061

Other practice location 1

12301 Grapefield Rd
Bastian, VA 24314-4547
Phone (267) 688-4331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20220830002395 VA Practitioner - Nurse Practitioner 8022496637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bland County Medical Clinic IncGroup PAC ID 2264326453, 20 clinicians

Practice addresses (Care Compare)

8494 S Scenic Hwy
Bland, VA 24315-5255
Phone (276) 688-0500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001210106VAMDRegistered Nurse
0024184315VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bland County Medical Clinic, Inc. CurrentSince May 19, 2022 Accepting new patients
Bland County Medical Clinic, Inc. CurrentSince May 19, 2022 Accepting new patients

Locations

12301 Grapefield Rd
Bastian, VA 24314
Phone (276) 688-2626

8494 S Scenic Hwy
Bland, VA 24315
Phone (276) 688-0500

8494 S Scenic Hwy
Ste Cd
Bland, VA 24315
Phone (276) 688-0500

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.

Hospital & facility affiliations 4

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": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1922766815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 MOUNT ZION RD",
            "city": "BLAND",
            "state": "VA",
            "postal_code": "243155246",
            "telephone_number": "276-389-7061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8494 S SCENIC HWY",
            "city": "BLAND",
            "state": "VA",
            "postal_code": "243155255",
            "telephone_number": "276-688-0500",
            "fax_number": "276-688-4336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12301 Grapefield Rd",
            "address_purpose": "LOCATION",
            "city": "Bastian",
            "state": "VA",
            "postal_code": "243144547",
            "country_code": "US",
            "telephone_number": "267-688-4331",
            "fax_number": "276-688-4336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "MELISSA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-07",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024184315",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001210106",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bland, VA

Sources for this page

Verify at the official NPI Registry.