Individual provider Active NPI

Melinda Nicholes, FNP-BC

  • Family Medicine Physician
  • Wheeling, WV
National Provider Identifier
1942673520
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
APRN74052 Issued in WV
Practice address
24 Homestead Ave
Wheeling, WV 26003-6638
Phone
(304) 232-1020
NPI assigned
Nov 4, 2015
Last updated
Jun 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X APRN74052 WV Primary
Prescribing (Medical) Psychologist 103TP0016X 18351 OH

Addresses

Primary practice location

24 Homestead Ave
Wheeling, WV 26003-6638

Mailing address

24 Homestead Ave
Wheeling, WV 26003-6638
Phone (304) 232-1020

Other practice location 1

1175 Newark Rd
Zanesville, OH 43701-2618
Phone (740) 454-0738

Other practice location 2

4812 MacCorkle Ave SW
South Charleston, WV 25309-1340
Phone (304) 768-3627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20161219002066 WV Practitioner - Nurse Practitioner 2961782115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18351OHMDPrescribing (Medical) Psychologist
APRN74052WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allwell Behavioral Health Services Past Accepting new patients
Benwood Medical Clinic Inc Family Medicine PastSince Nov 1, 2016 Accepting new patients
Valley Radiologists Inc PastSince Nov 1, 2016 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mnicholes20716@gohealthupmc.direct-ci.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1942673520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HOMESTEAD AVE",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036638",
            "telephone_number": "304-232-1020",
            "fax_number": "304-232-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 HOMESTEAD AVE",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036638",
            "telephone_number": "304-232-1020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1175 Newark Rd",
            "address_purpose": "LOCATION",
            "city": "Zanesville",
            "state": "OH",
            "postal_code": "437012618",
            "country_code": "US",
            "telephone_number": "740-454-0738",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4812 MacCorkle Ave SW",
            "address_purpose": "LOCATION",
            "city": "South Charleston",
            "state": "WV",
            "postal_code": "253091340",
            "country_code": "US",
            "telephone_number": "304-768-3627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLES",
        "first_name": "MELINDA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-04",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "APRN74052",
            "primary": true
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "OH",
            "license": "18351",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.