Individual provider Active NPI

Melanie Jill Wilhelm, DNP CPNP-PC

  • Pediatric Nurse Practitioner
  • Chesapeake, VA
National Provider Identifier
1982639183
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
0017137517 Issued in VA
Practice address
612 Kingsborough SQ Ste 301
Chesapeake, VA 23320-5055
Phone
(757) 436-1770
Fax
(757) 436-4303
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 0017137517 VA Primary

Addresses

Primary practice location

612 Kingsborough SQ Ste 301
Chesapeake, VA 23320-5055

Mailing address

601 Childrens LN Ste 200
Norfolk, VA 23507-1910
Phone (757) 461-6342

Other practice location 1

502 Bud Dr Ste 3
Chesapeake, VA 23322-7931
Phone (757) 312-9220

Other practice location 2

155 Kingsley Ln Ste 200
Norfolk, VA 23505-4629
Phone (757) 489-3551

Other practice location 3

885 Kempsville Rd
Suite 200
Norfolk, VA 23502-3800
Phone (757) 461-6342

Other identifiers 2

IdentifierTypeStateIssuer
10007206OtherOPTIMA INSURANCE
010261520MedicaidVA

Other names 1

  • Melanie Jill Frost Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0017137517VAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Medical Group Inc PastSince Nov 17, 2024 Accepting new patients
Childrens Medical Group Inc PastSince Nov 17, 2024 Accepting new patients

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1982639183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CHILDRENS LN STE 200",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071910",
            "telephone_number": "757-461-6342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 KINGSBOROUGH SQ STE 301",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205055",
            "telephone_number": "757-436-1770",
            "fax_number": "757-436-4303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "502 Bud Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233227931",
            "country_code": "US",
            "telephone_number": "757-312-9220",
            "fax_number": "757-312-8225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 Kingsley Ln Ste 200",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235054629",
            "country_code": "US",
            "telephone_number": "757-489-3551",
            "fax_number": "757-489-0413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "885 Kempsville Rd",
            "address_2": "SUITE 200",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235023800",
            "country_code": "US",
            "telephone_number": "757-461-6342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILHELM",
        "first_name": "MELANIE",
        "middle_name": "JILL",
        "credential": "DNP CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0017137517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA INSURANCE",
            "identifier": "10007206",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010261520",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "FROST",
            "middle_name": "JILL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.