Individual provider Active NPI

Melecia Nicolene Smikle, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Rock Hill, SC
National Provider Identifier
1972388031
Registry record updated Jul 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
27771A Issued in SC
Practice address
1153 Bannockburn Ave
Rock Hill, SC 29732-1121
Phone
(803) 448-0205
NPI assigned
Aug 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2025

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 27771A SC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 27771A SC Primary

Addresses

Primary practice location

1153 Bannockburn Ave
Rock Hill, SC 29732-1121

Mailing address

1153 Bannockburn Ave
Rock Hill, SC 29732-1121
Phone (803) 448-0205

Other practice location 1

6608 E Wt Harris Blvd Ste A
Charlotte, NC 28215-5128
Phone (704) 900-7761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20240917004109 SC Practitioner - Nurse Practitioner 4082155155 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rebound Behavioral Health LLCGroup PAC ID 2062656747, 8 clinicians

Practice addresses (Care Compare)

134 E Rebound Rd
Lancaster, SC 29720-7712
Phone (803) 313-3700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27771ASCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rebound Behavioral Health, LLC CurrentSince Jun 21, 2024 Accepting new patients
Melcare, LLC Psychiatric/Mental Health CurrentSince Jun 2, 2025 Accepting new patients
Mt Zion Medical and Nursing Services, PA Family PastSince Sep 1, 2023 Accepting new patients

Locations

134 E Rebound Rd
Lancaster, SC 29720
Phone (803) 313-3700

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751673600000",
    "number": "1972388031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 BANNOCKBURN AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321121",
            "telephone_number": "803-448-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 BANNOCKBURN AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321121",
            "telephone_number": "803-448-0205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6608 E Wt Harris Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282155128",
            "country_code": "US",
            "telephone_number": "704-900-7761",
            "fax_number": "704-900-8058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMIKLE",
        "first_name": "MELECIA",
        "middle_name": "NICOLENE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2025-07-05",
        "certification_date": "2025-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "27771A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "27771A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.