MS. MYLENE MELODY KEDROCK (NP) – Family Nurse Practitioner, NPI 1528052685

MS. MYLENE MELODY KEDROCK (NP) is a healthcare provider. based in Baltimore, Maryland. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 0024165793 (VA). The NPI Number for MS. MYLENE MELODY KEDROCK (NP) is 1528052685

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MS. MYLENE MELODY KEDROCK (NP)
NPI
1528052685
Phone
(571) 423-5699
Address
PO BOX 37174
Enumeration Date
6 September 2005
Last Update Date
27 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7035043000
Graduation Year
2003 (23 years ago)
PAC ID
6901862762
Group Practice PAC ID
2466351093
Professional Enrollment ID
I20041203000711
Address ID
VA223041535AL4320XRDXX300

Contacts

Secure Messaging
mkedrock694723@soc.inova.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

8,307 NURSE PRACTITIONER in VA

Provider Addresses for MS. MYLENE MELODY KEDROCK (NP)

  • PO BOX 37174

    BALTIMORE, MD 212973174

    Phone: (571) 423-5699

    Fax: (571) 423-5698

    Type: Mailing

  • 3300 GALLOWS RD

    FALLS CHURCH, VA 220423307

    Phone: (703) 776-4001

    Fax: (703) 776-7113

    Type: Location

  • 115 Park St SE

    SUITE 300

    Vienna, VA 221804653

    Phone: (703) 255-9100

    Fax: (703) 255-3457

    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: 2015-10-13

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041203000711INurse PractitionerDCTBD
I20151013000329INurse PractitionerVATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making1211$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 21297)

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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: 2466351093View full group profile

Reviews

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Frequently asked questions

How do I look up MS. MYLENE MELODY KEDROCK (NP) by NPI?
Use NPI 1528052685 when you need to reference MS. MYLENE MELODY KEDROCK (NP) in forms, claims, or directories.
Does this profile mean MS. MYLENE MELODY KEDROCK (NP) is currently active?
Yes — MS. MYLENE MELODY KEDROCK (NP) appears active in the national provider directory.
What kind of provider is MS. MYLENE MELODY KEDROCK (NP)?
The page reflects Family Nurse Practitioner for MS. MYLENE MELODY KEDROCK (NP). Clinical services aligned with this taxonomy classification.
Where is MS. MYLENE MELODY KEDROCK (NP)'s primary listing?
We display Baltimore, Maryland because that is what the record indicates for MS. MYLENE MELODY KEDROCK (NP).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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