SYDNIE LEEANN MELBY (OT) – Occupational Therapist, NPI 1043180383

SYDNIE LEEANN MELBY (OT) is a healthcare provider. based in Grand island, Nebraska. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OT. They hold a License No. 3084 (NE). The NPI Number for SYDNIE LEEANN MELBY (OT) is 1043180383

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
SYDNIE LEEANN MELBY (OT)
NPI
1043180383
Phone
(308) 646-0002
Address
PO BOX 5631
Enumeration Date
11 November 2025
Last Update Date
11 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4023915002
Graduation Year
2025 (1 year ago)
PAC ID
0547755860
Group Practice PAC ID
6800060856
Professional Enrollment ID
I20251223003225
Address ID
NE681543950OM10909RDXX401
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

230 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in NE

Provider Addresses for SYDNIE LEEANN MELBY (OT)

  • PO BOX 5631

    GRAND ISLAND, NE 688025631

    Phone: (308) 646-0002

    Fax: (308) 210-4121

    Type: Mailing

  • 10909 MILL VALLEY RD STE 210

    OMAHA, NE 681543950

    Phone: (402) 391-5002

    Fax: (402) 343-1278

    Type: Location

  • 1001 Fort Crook Rd N Ste 202

    Bellevue, NE 680054226

    Phone: (402) 391-5002

    Fax: (402) 343-1278

    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: 2025-12-23

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
I20251223003225IOccupational Therapist In Private PracticeNETBD

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 68802)

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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: 6800060856View full group profile
NameSpecialtyState
Qualified Speech Language PathologistNE
Qualified Speech Language PathologistNE
-NE
Qualified Speech Language PathologistIA
Occupational Therapist In Private PracticeNE
-NE
Occupational Therapist In Private PracticeNE
-NE
Physical Therapist In Private PracticeNE
Occupational Therapist In Private PracticeIA

Reviews

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Frequently asked questions

What is the 10-digit NPI for SYDNIE LEEANN MELBY (OT)?
SYDNIE LEEANN MELBY (OT) — NPI 1043180383 — is the standard way to identify this listing.
Can I rely on SYDNIE LEEANN MELBY (OT) being an active provider?
As of the registry snapshot, SYDNIE LEEANN MELBY (OT) is marked active.
What is SYDNIE LEEANN MELBY (OT)'s primary classification?
Occupational Therapist is the headline specialty for SYDNIE LEEANN MELBY (OT) here. Clinical services aligned with this taxonomy classification.
What address line appears for SYDNIE LEEANN MELBY (OT)?
SYDNIE LEEANN MELBY (OT)'s geographic hint is Grand Island, Nebraska in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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