BETTY C MELCHOR – Family Nurse Practitioner, NPI 1316743255

BETTY C MELCHOR is a healthcare provider. based in Pleasanton, California. specializing in NURSE PRACTITIONER. They hold a License No. 95034066 (CA). The NPI Number for BETTY C MELCHOR is 1316743255

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
BETTY C MELCHOR
NPI
1316743255
Phone
(925) 980-3904
Address
4634 SHEARWATER RD
Enumeration Date
21 February 2025
Last Update Date
21 February 2025

Doctor Profile

Medical School Name
TOURO UN COLLEGE OF OSTEOPATHIC MEDICINE, VALLEJO
Secondary Phone
5108410411
Graduation Year
2022 (4 years ago)
PAC ID
2567989189
Group Practice PAC ID
1759377757
Professional Enrollment ID
I20250507002375
Address ID
CA947052017BE2905XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for BETTY C MELCHOR

  • 4634 SHEARWATER RD

    PLEASANTON, CA 945664612

    Phone: (925) 980-3904

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250507002375INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94566)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759377757View full group profile
NameSpecialtyState
-CA
Nephrology, Internal MedicineCA
Nephrology, Internal MedicineCA
Registered Dietitian Or Nutrition ProfessionalCA
Internal Medicine, NephrologyCA
-CA
Nephrology, Internal MedicineCA
Nephrology, Internal MedicineCA
-CA
Physician AssistantCA

Reviews

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Frequently asked questions

Can I verify BETTY C MELCHOR with an NPI only?
You can start verification with NPI 1316743255 for BETTY C MELCHOR, then check state licensing separately.
Does the file indicate BETTY C MELCHOR is practicing under active NPI?
Directory data currently reports BETTY C MELCHOR as active.
What taxonomy line describes BETTY C MELCHOR?
For research purposes, treat BETTY C MELCHOR as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is BETTY C MELCHOR based?
BETTY C MELCHOR is tied to Pleasanton, California in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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