MRS. MELINDA R SHORT-RUSSELL (MSN, APRN, FNP-BC) – Nurse Practitioner, NPI 1871789917
Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MRS. MELINDA R SHORT-RUSSELL (MSN, APRN, FNP-BC)
2007 S Lake Cannon Dr NW
Winter Haven, FL 338813057
Phone: (863) 529-6899
Fax: (863) 583-0382
Type: Location
2007, South Lake Cannon Drive, Winter Haven, Polk County, Florida, 33881, United States
WINTER HAVEN, FL 338813057
Phone: (863) 529-6899
Fax: (635) 830-3828
Type: Mailing
210 N HIGHWAY 27 STE 1
CLERMONT, FL 347112411
Phone: (352) 243-2544
Fax: (352) 243-2745
Type: Mailing
5210 WEBB RD
TAMPA, FL 336154518
Phone: (813) 882-9986
Fax: (813) 882-9849
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $536.
Total Amount is formed as General ($536) + Research ($0) + Ownership ($0) = $536.
Last reported payment date: 2024-03-25 • Largest payer in this snapshot: Janssen Biotech, Inc. ($270).
Total Amount
$536
General + Research + Ownership
Payments
18
Total payment records
General Amount
$536
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $270 |
| SANOFI-AVENTIS U.S. LLC | $100 |
| Regeneron Healthcare Solutions, Inc. | $55 |
| Medtronic, Inc. | $39 |
| ABBVIE INC. | $21 |
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: 2025-12-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20210114000847 | I | Nurse Practitioner | FL | TBD |
| I20251210003169 | I | Nurse Practitioner | TN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33881)
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