MS. MELISSA ANNE JETHANANDANI (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1508974791
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
Provider Addresses for MS. MELISSA ANNE JETHANANDANI (NP)
3133 E. Millbrook Ave.
Fresno, CA 93703
Phone: (559) 600-9180
Type: Location
245 11th St
San Francisco, CA 94103
Phone: (415) 355-0311
Fax: (864) 512-1823
Type: Location
245, 11th Street, Civic Center, Mission, San Francisco, California, 94103, United States
SAN FRANCISCO, CA 94103
Phone: (415) 355-0311
Fax: (864) 512-1823
Type: Mailing
4441 E KINGS CANYON RD
FRESNO, CA 937023604
Phone: (559) 600-9180
Type: Location
1345 Redmond Cir NW
Rome, GA 301651307
Phone: (910) 742-9243
Fax: (888) 746-1787
Type: Location
245, 11th Street, West SoMa, San Francisco, California, 94103, United States
SAN FRANCISCO, CA 94103
Phone: (415) 355-0311
Fax: (864) 512-1823
Type: Location
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: 2017-04-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170405002232 | I | Nurse Practitioner | CA | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 37 | 22 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 33 | 22 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 12 | 12 | $0 |
Insurance plans in this area (ZIP 93703)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Marriage And Family Therapist | CA | |
| Marriage And Family Therapist | CA | |
| Marriage And Family Therapist | CA | |
| Psychiatry, Geriatric Psychiatry | CA | |
| P S Y C H I A T R Y | CA | |
| P S Y C H I A T R Y | PA | |
| P S Y C H I A T R Y | CA | |
| Psychiatry, Neuropsychiatry | CA | |
| Marriage And Family Therapist | CA | |
| P S Y C H I A T R Y | CA |
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