LYNDA MELTON (P.A.) – Medical Physician Assistant, NPI 1114031812

LYNDA MELTON (P.A.) is a healthcare provider. based in Centennial, Colorado. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 1974 (CO). The NPI Number for LYNDA MELTON (P.A.) is 1114031812

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
LYNDA MELTON (P.A.)
NPI
1114031812
Phone
(303) 699-6200
Address
5657 S Himalaya St
Enumeration Date
18 August 2006
Last Update Date
21 October 2022

Doctor Profile

Medical School Name
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, AURORA
Secondary Phone
7207771234
Graduation Year
2004 (22 years ago)
PAC ID
6608818679
Group Practice PAC ID
3476465667
Professional Enrollment ID
I20050531001009
Address ID
CO800457106AU13123AVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

4,161 PHYSICIAN ASSISTANT in CO

Provider Addresses for LYNDA MELTON (P.A.)

  • 5657 S Himalaya St

    Suite 100

    Centennial, CO 800155307

    Phone: (303) 699-6200

    Fax: (720) 870-0242

    Type: Location

  • Advanced Pediatric Associates, 5657, South Himalaya Street, Centennial, Arapahoe County, Colorado, 80015, United States

    SUITE 100

    CENTENNIAL, CO 800155307

    Phone: (303) 699-6200

    Fax: (720) 870-0242

    Type: Mailing

  • 13123 E 16TH AVE

    AURORA, CO 800457106

    Phone: (720) 777-1234

    Type: Location

  • PO BOX 110429

    AURORA, CO 800420429

    Phone:

    Type: Mailing

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: 2005-05-31

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
I20050531001009IPhysician AssistantCOTBD

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 80015)

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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: 3476465667View full group profile
NameSpecialtyState
-CO
Family PracticeCO
Advanced Heart Failure And Transplant Cardiology, Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineCO
Emergency MedicineCO
Emergency MedicineCO
-CO
-CO
Emergency MedicineCO
-CO
-CO

Reviews

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Frequently asked questions

Can I verify LYNDA MELTON (P.A.) with an NPI only?
You can start verification with NPI 1114031812 for LYNDA MELTON (P.A.), then check state licensing separately.
Can I rely on LYNDA MELTON (P.A.) being an active provider?
As of the registry snapshot, LYNDA MELTON (P.A.) is marked active.
What is LYNDA MELTON (P.A.) best known for clinically?
Directory data describes LYNDA MELTON (P.A.) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for LYNDA MELTON (P.A.)?
LYNDA MELTON (P.A.)'s geographic hint is Centennial, Colorado in our summary view.
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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