Individual provider Active NPI

Melinda Wilson, CRNP

  • Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1942625215
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-117811 Issued in AL
Practice address
3690 Grandview Pkwy
Birmingham, AL 35243-3326
Phone
(205) 971-6375
NPI assigned
Feb 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1117811 AL
Nurse Practitioner 363L00000X 1-117811 AL Primary

Addresses

Primary practice location

3690 Grandview Pkwy
Birmingham, AL 35243-3326

Mailing address

2737 Griffin Way
Hoover, AL 35244-7300
Phone (205) 789-1804

Other practice location 1

941 Spring Creek Rd
Chattanooga, TN 37412-3909
Phone (423) 664-4460 ext. 226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190827002990 MN Practitioner - Nurse Practitioner 9436487584 Reassigns benefits to 2 organizations
I20241104004069 OK Practitioner - Nurse Practitioner 9436487584 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1117811ALMDRegistered Nurse
1-117811ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis Regional Medical Center CurrentSince Jun 1, 2019 Accepting new patients
Allina Health System CurrentSince Jun 1, 2019 Accepting new patients
Allina Health System Current Accepting new patients
Ou Health Partners, Inc CurrentSince Oct 9, 2024 Accepting new patients
Ou Health Partners, Inc CurrentSince Oct 9, 2024 Accepting new patients
St. Francis Regional Medical Center CurrentSince Jun 1, 2019 Accepting new patients
Mwilsoncrnp, LLC CurrentSince Apr 20, 2025 Accepting new patients
Allina Health System CurrentSince Jun 1, 2019 Accepting new patients

Locations

265 Creek Ln S
Jordan, MN 55352
Phone (952) 428-1200

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547

1455 Saint Francis Ave
Shakopee, MN 55379
Phone (952) 403-2200

1200 Childrens Ave
Ste 9A
Oklahoma City, OK 73104
Phone (405) 271-2234

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

Organizations & group practices 8

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": "1393200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1942625215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 GRIFFIN WAY",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352447300",
            "telephone_number": "205-789-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3690 GRANDVIEW PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433326",
            "telephone_number": "205-971-6375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "941 Spring Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374123909",
            "country_code": "US",
            "telephone_number": "423-664-4460 x226",
            "fax_number": "423-648-5675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MELINDA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-24",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1117811",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-117811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.