Individual provider Active NPI

Melinda N Grant

  • Nurse Practitioner
  • Pittsfield, MA
National Provider Identifier
1942067269
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2284108 Issued in MA
Practice address
877 South St
Pittsfield, MA 01201-8242
Phone
(413) 443-2994
NPI assigned
Mar 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2284108 MA Primary

Addresses

Primary practice location

877 South St
Pittsfield, MA 01201-8242

Mailing address

877 South St
Pittsfield, MA 01201-8242
Phone (413) 443-2994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240425002559 MA Practitioner - Nurse Practitioner 6305286238 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hospicecare in the Berkshires, Inc. CurrentSince Apr 17, 2024 Accepting new patients
Hospicecare in the Berkshires, Inc. CurrentSince Apr 17, 2024 Accepting new patients

Locations

75 North St
Ste 210
Pittsfield, MA 01201

877 South St
Pittsfield, MA 01201
Phone (413) 326-5656

877 South St
Ste 1W
Pittsfield, MA 01201
Phone (413) 443-2994

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1942067269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 SOUTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012018242",
            "telephone_number": "413-443-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 SOUTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012018242",
            "telephone_number": "413-443-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "MELINDA",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2284108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.