Individual provider Active NPI

Melissa Anne Peters, NP

  • Adult Medicine Physician
  • Grove City, OH
National Provider Identifier
1982217352
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
RN.386557 Issued in OH
Practice address
2041 Stringtown Rd
Grove City, OH 43123-2930
Phone
(614) 597-4452
NPI assigned
Aug 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X RN.386557 OH Primary

Addresses

Primary practice location

2041 Stringtown Rd
Grove City, OH 43123-2930

Mailing address

4525 Demorest Rd
Grove City, OH 43123-7935
Phone (614) 597-4452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 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
I20201009002395 OH Practitioner - Nurse Practitioner 9032539119 Reassigns benefits to 1 organization
I20240503001600 IN Practitioner - Nurse Practitioner 9032539119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Metabolic and Bariatric Surgery LLCGroup PAC ID 0244383388, 8 clinicians

Practice addresses (Care Compare)

10475 Reading Rd
Suite 117
Cincinnati, OH 45241-2500
Phone (513) 559-1222

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.386557OHMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Metabolic and Bariatric Surgery LLC CurrentSince Sep 5, 2020 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

33 E County Line Rd
Ste E
Greenwood, IN 46143
Phone (317) 300-2010

10475 Reading Rd
Ste 117
Cincinnati, OH 45241

2041 Stringtown Rd
Grove City, OH 43123
Phone (614) 259-6770

2621 Dryden Rd
Ste 301
Moraine, OH 45439
Phone (937) 280-5673

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": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1982217352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 DEMOREST RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431237935",
            "telephone_number": "614-597-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 STRINGTOWN RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232930",
            "telephone_number": "614-597-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "OH",
            "license": "RN.386557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

Verify at the official NPI Registry.