MARYELLEN MCMELLION – Certified Registered Nurse Anesthetist, NPI 1669776415

MARYELLEN MCMELLION is a healthcare provider. based in Conyers, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. ARNP9322064 (FL). The NPI Number for MARYELLEN MCMELLION is 1669776415

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
MARYELLEN MCMELLION
NPI
1669776415
Phone
(404) 358-4354
Address
3228 QUINCEY XING
Enumeration Date
7 January 2011
Last Update Date
13 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3212686111
Graduation Year
2010 (16 years ago)
PAC ID
0244418507
Group Practice PAC ID
8921289943
Professional Enrollment ID
I20110711000319
Address ID
FL327962163TI951XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

5,375 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

Provider Addresses for MARYELLEN MCMELLION

  • 3228 QUINCEY XING

    CONYERS, GA 300136385

    Phone: (404) 358-4354

    Type: Mailing

  • 7111 FAIRWAY DR

    SUITE 450

    PALM BEACH GARDENS, FL 334184204

    Phone: (561) 623-2021

    Type: Location

  • 4485 N State Road 7

    Lauderdale Lakes, FL 333195876

    Phone: (954) 735-0096

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $147.

Total Amount is formed as General ($147) + Research ($0) + Ownership ($0) = $147.

Last reported payment date: 2024-10-01 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($147).

Total Amount

$147

General + Research + Ownership

Payments

8

Total payment records

General Amount

$147

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$147
View all Open Payments →|Open Payments Risk Radar →

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: 2011-07-11

PECOS data refreshed: 2026-06-15

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
I20110711000319ICertified Registered Nurse Anesthetist (Crna)FLTBD

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 30013)

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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: 8921289943View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YFL

Reviews

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Frequently asked questions

How do I look up MARYELLEN MCMELLION by NPI?
Use NPI 1669776415 when you need to reference MARYELLEN MCMELLION in forms, claims, or directories.
Is MARYELLEN MCMELLION's NPI currently valid?
The extract we use shows MARYELLEN MCMELLION as active.
Does MARYELLEN MCMELLION list a primary specialty?
If you are matching referrals, note Certified Registered Nurse Anesthetist for MARYELLEN MCMELLION. Clinical services aligned with this taxonomy classification.
What location metadata exists for MARYELLEN MCMELLION?
The page summarizes Conyers, Georgia for MARYELLEN MCMELLION; expand the address list for detail.
How can I contact MARYELLEN MCMELLION?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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