JANEEN MELVIN – Psychiatric/Mental Health Nurse Practitioner, NPI 1053289660

JANEEN MELVIN is a healthcare provider. based in Elizabethtown, Kentucky. specializing in NURSE PRACTITIONER. They hold a License No. 4044535 (KY). The NPI Number for JANEEN MELVIN is 1053289660

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
JANEEN MELVIN
NPI
1053289660
Phone
Not provided
Address
2000 RING RD
Enumeration Date
27 October 2025
Last Update Date
27 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2705062730
Graduation Year
2025 (1 year ago)
PAC ID
3678065331
Group Practice PAC ID
0749406577
Professional Enrollment ID
I20251120003664
Address ID
KY427019454EL2000XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

7,387 NURSE PRACTITIONER in KY

Provider Addresses for JANEEN MELVIN

  • 2000 RING RD

    ELIZABETHTOWN, KY 427019454

    Phone:

    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: 2025-11-20

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
I20251120003664INurse PractitionerKYTBD

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 42701)

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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: 0749406577View full group profile
NameSpecialtyState
Mental Health CounselorKY
Clinical Social WorkerKY
-KY
Nurse PractitionerKY
Mental Health CounselorKY
Nurse PractitionerOH
Clinical Social WorkerKY
Nurse PractitionerKY
-KY
Nurse PractitionerKY

Reviews

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Frequently asked questions

How do I look up JANEEN MELVIN by NPI?
Use NPI 1053289660 when you need to reference JANEEN MELVIN in forms, claims, or directories.
Is JANEEN MELVIN active in the national directory?
JANEEN MELVIN's public NPI profile is in an active state.
What field does JANEEN MELVIN work in?
You can think of JANEEN MELVIN as practicing within Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does JANEEN MELVIN practice in Kentucky?
You will see Elizabethtown, Kentucky on file for JANEEN MELVIN alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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