EDUKE ROLINE MELLE – Psychiatric/Mental Health Nurse Practitioner, NPI 1174893101

EDUKE ROLINE MELLE is a healthcare provider. based in Upper marlboro, Maryland. specializing in NURSE PRACTITIONER. They hold a License No. R229690 (MD). The NPI Number for EDUKE ROLINE MELLE is 1174893101

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
EDUKE ROLINE MELLE
NPI
1174893101
Phone
(240) 898-6226
Address
15617 NORUS ST
Enumeration Date
6 January 2012
Last Update Date
20 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2023 (3 years ago)
PAC ID
0840783320
Professional Enrollment ID
I20260313004253
Address ID
MD207728254UP15617STXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:14State licenses:2Digital endpointsOther names

6,767 NURSE PRACTITIONER in MD

Provider Addresses for EDUKE ROLINE MELLE

  • 15617 NORUS ST

    UPPER MARLBORO, MD 207728254

    Phone: (240) 898-6226

    Type: Mailing

  • 3905 ELLIS ST

    CAPITOL HEIGHTS, MD 207435752

    Phone: (240) 898-6226

    Type: Location

  • 1301 LENFANT SQ SE

    WASHINGTON, DC 200206724

    Phone: (240) 898-6226

    Type: Mailing

  • 3905 Ellis St

    Capitol Heights, MD 207435752

    Phone: (240) 898-6226

    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: 2026-03-13

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
I20260313004253INurse PractitionerDCTBD

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 20772)

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Reviews

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Frequently asked questions

Can I cross-check EDUKE ROLINE MELLE using NPI 1174893101?
NPI 1174893101 belongs to EDUKE ROLINE MELLE; compare other details if you need extra assurance.
Is EDUKE ROLINE MELLE still an active registrant?
EDUKE ROLINE MELLE carries an active NPI according to the public dataset.
What kind of doctor is EDUKE ROLINE MELLE?
EDUKE ROLINE MELLE is associated with Psychiatric/Mental Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Where in Maryland is EDUKE ROLINE MELLE registered?
Use Upper Marlboro, Maryland as the headline location for EDUKE ROLINE MELLE here.
Can I trust this NPI listing for EDUKE ROLINE MELLE?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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