Individual provider Active NPI

Melanie Nicole Reynolds, NP

  • Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1952936429
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95014058 Issued in CA
Practice address
4105 Empire Drive
Bakersfield, CA 93309-9330
Phone
(661) 325-3937
Fax
(661) 283-3937
NPI assigned
Mar 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 95014058 CA Primary

Addresses

Primary practice location

4105 Empire Drive
Bakersfield, CA 93309-9330

Mailing address

3419 Wexford PL
Bakersfield, CA 93314-8651
Phone (661) 428-0944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20200617002659 CA Practitioner - Nurse Practitioner 5991127151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empire Eye and Laser Center IncGroup PAC ID 1456392786, 7 clinicians

Practice addresses (Care Compare)

4105 Empire Dr
Bakersfield, CA 93309-0637
Phone (661) 325-3937

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Eye and Laser Center Inc Single Specialty CurrentSince Mar 12, 2020 Accepting new patients

Locations

4105 Empire Dr
Bakersfield, CA 93309
Phone (661) 325-3937

Organizations & group practices 1

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": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1952936429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 WEXFORD PL",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933148651",
            "telephone_number": "661-428-0944",
            "fax_number": "661-283-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 EMPIRE DRIVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933099330",
            "telephone_number": "661-325-3937",
            "fax_number": "661-283-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "MELANIE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95014058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.